Planet Jersey

Peoples Politics Election 19th Oct. 2011 => States Departments => Hospitals => Topic started by: corkie on April 18, 2008, 10:11:42 PM

Title: Jersey General Hospital
Post by: corkie on April 18, 2008, 10:11:42 PM
I have just done a stint in the hospital as i got takin bad and had to go to A & E. Anyway i was put on a low fat food diet because of the illness i had which was a truma, all that i got offered to eat was Chicken at lunch Chicken at tea time you got a cooked lunch and salads or sandwiches for tea, the day b4 i am let out im told told there is a special diet sheet which i can order from for the following days meal (what a surprise as i went home the next day) i did complain about the fact all i was being offered was chicken and was told at the time (we cater for all diet requirements at each meal) and yes they do but if your a long term patient as i was im sure you wouldn't want chicken everyday!

My question is: the states are getting all this extra money i seriously think the health service it provides should be looked in to Big Time and some of this extra money should be spent there.

I have had my eyes opened some what, to the health service with regards to the food, waiting time for scans/xrays and i think the best one was i had a prob with my eyes and had to see someone at the eye clinic i got told whilst im an inpatient 3 days in out of my 8 day stay that an appointment had been made for me for 2 weeks time to which i replied well thats stupid the prob with my eyes is now it would have cleared up in 2 weeks no point in going then, funny how i saw the eye doctor the next morning after the compliant ( but it makes we wonder if there is any logic in the place).

I couldnt wait to get out dont get me wrong the Nurses work hard and i did get great care from them but as for the rest of my stay (NAH)

 





Title: Re: Jersey General Hospital
Post by: Jason the Maverick on April 18, 2008, 10:19:00 PM
This sounds terrible!

And I bet you feel better after getting out of there Corkie!

Do you think it may be down to a lack of funding that could be the cause of all these problems?
Title: Re: Jersey General Hospital
Post by: Hayesann on April 18, 2008, 10:40:23 PM
You seem to have had a difficult time. I worry, if I was admitted as I don't eat meat. The last 3 times I was only in overnight, never was I offered a non meat hot meal!
Title: Re: Jersey General Hospital
Post by: jez strickland on April 19, 2008, 12:25:40 AM
Corkie, I work in the place and can tell you many stories! Sometimes I think a blog should be in order.

The sure fire way of getting 3 hot meals a day is to have private medical insurance. The private wing has it's own dedicated chef working to quite a decent menu. Alas this option is beyond most of us.

If anyone visits hospital your meals are:

Breakfast - cereals, fruit, toast*.

Lunch - hot meals including non-meat

Evening - sandwiches, salad, soup. Hot meals are regularly served on children's ward, and maternity in the evening. If a patient arrives after the evening meal has been served, then ask the housekeepers for a hot meal from maternity. Most offer this as a matter of course. If not, nurses and housekeepers will rustle something up. Hot meals are also served on all wards if you are subject to a dietry requirement such as low fibre/fat/potassium. This is where the menu comes in that Corkie was made aware of all too late. If you have a dietry requirement then you request next day's lunch, and have the option of ordering a hot evening meal (It's at the top of the menu just under the name and dietry particulars) Remeber this evening option as it is often forgotten by staff.
That's an advantage if you've been put on a diet for medical reasons. However the menu also caters for existing diets such as vegetarian, vegan, and gluten-free. Now I'm not suggesting that you falsify your account, but what's to stop you becoming a vegetarian for a few days? Or you have been told you have a gluten intolerance, and therefore no more sandwiches, but hot meals instead. I have not only seen someone claim they have a gluten intolerance, but also ignore the no-pasta (wheat = gluten), and order bolognaise. The nurses do not raise the issue as most wish for an easy shift, or do not begrudge anyone having a hot meal in the evening.

* toast get's a special mention in the hospital. It is not made from bread as we know it but a flour/cement mix. Half the geriatric patients need help cutting it. It's that tough I've seen plates crack during forceful attempts to cut it! But it's the making of the toast that deserves special status as it's responsible for 99% of fire service call outs to the hospital. Wards use large toasters that have been in service for years and most fail to pop up and while the girls are serving breakfast the toast continues to burn setting off the fire alarms.
Now for years I've mentioned that the wards buy new toasters, but what was the directive from management? - Housekeepers are to stay with the toaster for the duration and close the kitchen firedoors.

Just a quick mention about waste. Every lunch time there is surplus food which is churned down the waste disposal sink. Several kilos on each ward, every day. Apart from the waste implications you wouldn't begrudge some of the less well paid staff from eating the remains? No chance it's a sackable offence - down the sink it goes.
Title: Re: Jersey General Hospital
Post by: corkie on April 19, 2008, 11:17:19 PM
I understand that the staff at the hospital have a hard job, and i do hold my hands up to them (as i couldnt do there job) but my compliant was the fact that ALL the staff knew i was on a special low fat diet for my medical condition and not one off them told me about the special diet sheet available.

For example the sandwiches of an evening were laced with mayo, soup was always cream of something, and lets be honest who will eat lettuce every night!!!!.

I can well understand the waste of the food per day judging by what was left on the food trolleys at each meal time, and i think its a disgrace that the staff are not allowed to eat it.
Why cant it be sent just across the road to the Shelter im sure they would appreciate it, i know if i was there i would!!!

All im saying is that the whole health scheme needs to be looked at, i am now out of hospital being told i have to wait for my mri scan as an out patient which should have been done whilst i was an inpatient but was told that they had no idea when they could fit me in, mabe if i was a private patient it would have been done by now and i would have had my results and be able to lead a normal life again without the worry of my illness flaring up again at any givin time and ending up doing another 8/9 days in hospital enjoying the lovely food again!!!!
 
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on April 20, 2008, 01:36:03 AM
If I were you I would have nipped across the road to the Mandarin  8)
Title: Re: Jersey General Hospital
Post by: Terminator 4 on April 22, 2008, 09:00:21 AM
I have never had to stay in hospital but thanks for the warning  :-\
Title: Re: Jersey General Hospital
Post by: newmac on April 22, 2008, 02:58:05 PM

All im saying is that the whole health scheme needs to be looked at, i am now out of hospital being told i have to wait for my mri scan as an out patient which should have been done whilst i was an inpatient but was told that they had no idea when they could fit me in, mabe if i was a private patient it would have been done by now and i would have had my results and be able to lead a normal life again without the worry of my illness flaring up again at any givin time and ending up doing another 8/9 days in hospital enjoying the lovely food again!!!!
 

My wife has had to wait just under 3 weeks for a urgent MRI scan  and that's on private insurance
Title: Re: Jersey General Hospital
Post by: en830 on April 22, 2008, 05:16:25 PM
If I were you I would have nipped across the road to the Mandarin  8)

I wouldn't I've seen pictures of how they store their meat products. I haven't been back since.
Title: Re: Jersey General Hospital
Post by: Davros Le Sueur on April 22, 2008, 08:24:55 PM
I wouldn't I've seen pictures of how they store their meat products. I haven't been back since.
I had a takeaway from there last year.
Guts were in agony for a couple of days.
Title: Re: Jersey General Hospital
Post by: en830 on April 22, 2008, 08:30:43 PM
I have it on good authority that the take away/restaurant with the best hygiene record in St Helier is Indian Ocean.
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on April 22, 2008, 09:31:10 PM
The Mandarin is my favourite  ;D
Title: Re: Jersey General Hospital
Post by: Pomme de terre on April 22, 2008, 09:55:44 PM
I just had a takeaway from there tonight! Bloody lovely, best in the island. No gut problems yet, but I will re-post as soon as anything happens  ;D ;D ;D
Title: Re: Jersey General Hospital
Post by: Tory Boy on April 22, 2008, 09:58:39 PM
Been there for office lunch and it was good, loads of food and less than a tenner.
Title: Re: Jersey General Hospital
Post by: jez strickland on April 24, 2008, 02:07:39 PM
Good grief!

Corbiere ward closed again. This time noro-virus.

Title: Re: Jersey General Hospital
Post by: Jason the Maverick on April 24, 2008, 07:43:59 PM
You are probably safer away from the place!
Title: Re: Jersey General Hospital
Post by: corkie on May 02, 2008, 01:51:46 PM
My wife has had to wait just under 3 weeks for a urgent MRI scan  and that's on private insurance

it is amazing i went home on the thursday and then im just starting to get use to being out of hospital and 4 days later i get a phone call at 5pm please can you come back in as an inpatient as you need a urgent blood test and a urgent MRI scan, so from being told 4 days earlier we have no idea when u can have your mri scan i was back in again.
Anyway i went back in on that monday nite i had the call and get this no blood test untill the morning (so not as urgent as they had said the nite b4) and got taken down at 10am for my scan (unfortantly i freaked out in the scan as i was claustropobic) but funny how the next morning i was givin a chill pill to help me relax and was back down again to the MRI scan at 9.30am so i think when they say its busy and cant fit you in i think it will prob be BS! Oh and just for the record the MRI scanner is even outside in a posh porter cabin so if its raining your gona get wet!!!

Oh and bearing in mind this was without private medical insurance.

I cant work out how this all works really but it is frustrating for us the Jo-public when we are fobbed off!!!!

So i think its about time the health minister really looked at the way the health service as a whole is being run and how it could be inproved for us poor patients!
Title: Re: Jersey General Hospital
Post by: newmac on May 02, 2008, 03:04:43 PM
My wifes appointment was at 5.15 pm on a Tuesday, I got a text off her to say they were running a bit late, she finally got out of the hospital at 7.40 :o

They couldn't complete all of the scan as they had forgot to get her in for blood test's before the scan, so had to back to the hospital the following morning for the blood tests, then back on the Friday morning to finish the scan. If it wasn't covered under the insurance I would tell them to stick the £600 bill for the scan.
Title: Re: Jersey General Hospital
Post by: Chief Minister on May 02, 2008, 03:22:31 PM
Luckily I have not needed one yet, but it sounds like a bleeding nightmare.
Title: Re: Jersey General Hospital
Post by: corkie on May 04, 2008, 10:50:27 PM

Well i will keep u updated with my next health saga as im back at the hospital next wed! lets see what i can get fobbed off with this time and how long i will have to wait for further tests!!!
Title: Re: Jersey General Hospital
Post by: Terminator 4 on May 05, 2008, 10:07:28 AM
Going to hospital for anything is a nuisance.  Whenever I have had to go into Accident & Emergency I have had to wait for ages.

It is funny, because my visits have always been timed to coincide with an emergency they are already dealing with and when they do see you (about 2-3 hours later), you are generally diagnosed within 3 minutes.
Title: Re: Jersey General Hospital
Post by: Flipper on May 05, 2008, 10:15:24 AM
Going to hospital for anything is a nuisance.

Too true. But try it on the mainland and then you will really see what a nuisance is. Even seeing your local GP is a pain in the butt. You can end up waiting for 4 or 5 days just to see them. And the Dentist is even worse, you could have to wait months for a routine visit and weeks for an emergency.

I know it's expensive over here, but you can see a Doctor or Dentist on the day that you make an appointment. We are very lucky, even if it does not feel like it at the time.
Title: Re: Jersey General Hospital
Post by: Cousinbenson on May 11, 2008, 02:08:54 PM
I recall visiting our local A&E department having been attacked by a nutcase on king street at 2.00 am after venturing out for a few beers.  I must say that in this case the hospital were usless.  I spent around 3 hours waiting in a non existent queue to then be told its advisable if I go home and come back another time, after all it was probably just a broken nose.  After insisting I wanted to be seen by a doctor I was finally treated 30 minutes later.  And this isnt just me, I know of an instance where a patient was sent home several twice with the hospital stating they were fine, later that day they went back in and were admitted for 11 days, not sick huh? Whos to blame for this?  In this case I blame Senator Shenton, the man has no idea about health services and should not be in his current position.  Also on the subject of hospital food I would like to point out that the evening meal provided to all patients is actually outsourced to Empire Catering.  Seems the hospital cannot make sandwiches and soup themselves, also looking in the news Empire Catering dont exactly have a stunning record for food hygiene.  So this begs the next question whos got the link to Empire Catering in the States as im sure its a good earner with the owner of Empire Catering driving around in a brand new Range Rover Vogue.

p.s did I mention that Empire Catering deliver a large amount of sandwiches in non chilled vans?
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on May 11, 2008, 02:31:06 PM
I was invovled in a bike accident many years ago and I was kept waiting for about 5 hours.  Only had broken both my ancles and they didn't even realise my knee was broken until it swelled up and I went back the next day.
Title: Re: Jersey General Hospital
Post by: ageofaquarius on May 11, 2008, 08:22:40 PM
The food at the hospital is unimaginative, oversalted, over-cooked and usually swimmng in either oil or, as in the case of sandwiches, too much mayo.  We could do with a Jamie Oliver type kicking some arse in the catering dept. Is it any wonder that a large percentage of the staff are obese.  But catering criticism aside, The biggest problem at our dear local hospital seems to be communication breakdown and of course, the place is run by civil servants, but thats the same in the UK which is far worse, is all down to luck of the draw, i.e. post code. 
Title: Re: Jersey General Hospital
Post by: jez strickland on May 11, 2008, 09:02:26 PM
The food at the hospital is unimaginative, oversalted, over-cooked and usually swimmng in either oil or, as in the case of sandwiches, too much mayo.  We could do with a Jamie Oliver type kicking some arse in the catering dept. Is it any wonder that a large percentage of the staff are obese.  But catering criticism aside, The biggest problem at our dear local hospital seems to be communication breakdown and of course, the place is run by civil servants, but thats the same in the UK which is far worse, is all down to luck of the draw, i.e. post code. 

"...a large percentage of the staff are obese" - I could toy with you here until our cows are inseminated with foreign bull semen, but I guess I'd be wasting my time, Mr. Prescott?
Title: Re: Jersey General Hospital
Post by: Bea on May 11, 2008, 09:26:35 PM
I know this idea might not be popular with some as it might mean we have to  privatise parts of our Health service .
This is now going on in some UK service providers and seems to be working well .
They are paying for people to go to private Bupa  hospitals for some operations,as it actually work out cheaper to do that ,than do it in the NHS,taking into account administrative charges.Even going abroad in some places .Some countries in Europe have no Mrsa infections ,and their standards are second to none .
We currently send patients off Island for specialised treatments to NHS centres of expertise. The costs of that is still probably more expensive than sending someone to Rennes or Brussels,or Southampton Bupa all  having excellent services too.
I have had surgery in France and standards were second to none.I have also been abroad for dental treatment as was two thirds cheaper than was quoted in Jersey,and that included my flights and hotels.Also had a lovely holiday too.
We should be able to have a budget allocated to us ,for us to decide where do we spend it.
It sounds contraversial ,but that way we can research which surgeon we want to operate on us,as it is ,you take what is offered here,unless you go private.
Title: Re: Jersey General Hospital
Post by: Hayesann on May 11, 2008, 09:31:30 PM
I think it is fair to look elswhere for care. Also an EXCELLENT idea to have a budget for care, wherever we want to spend it.  ;D
Title: Re: Jersey General Hospital
Post by: Deputy Dawg on May 11, 2008, 10:01:05 PM
Also on the subject of hospital food I would like to point out that the evening meal provided to all patients is actually outsourced to Empire Catering.  Seems the hospital cannot make sandwiches and soup themselves, also looking in the news Empire Catering dont exactly have a stunning record for food hygiene.

According to Mr Mario Pirrozolo the owner of Empire Catering and a speaker at a recent time 4 change meeting, he also supplies many schools, and is well known within the industry for apparently paying the least he can for his employees, and getting as many hours out of them as he can. This year has already seen one report on the Norovirus which hit many schools in September last year, which originated at Empire Catering.

http://news.bbc.co.uk/1/hi/world/europe/jersey/7194858.stm (http://news.bbc.co.uk/1/hi/world/europe/jersey/7194858.stm)
Title: Re: Jersey General Hospital
Post by: Bea on May 11, 2008, 10:07:24 PM
Going back to my previous post .Medical tourism is big business .Americans and people in uk who are fed up of being on long waiting lists have been going abroad for surgery .The costs are often 70% cheaper,and the levels and standards are second to none .
Check out links
http://www.telegraph.co.uk/global/main.jhtml?xml=/global/2005/08/20/etnewsmedical20.xml

http://www.bumrungrad.com/overseas-medical-care/medical-tourism.aspx?gclid=CLK_tvqrn5MCFQEhQgodOXx8vg

http://travel.timesonline.co.uk/tol/life_and_style/travel/destinations/india/article2257994.ece
Title: Re: Jersey General Hospital
Post by: corkie on May 13, 2008, 12:59:34 PM
I recall visiting our local A&E department having been attacked by a nutcase on king street at 2.00 am after venturing out for a few beers.  I must say that in this case the hospital were usless.  I spent around 3 hours waiting in a non existent queue to then be told its advisable if I go home and come back another time, after all it was probably just a broken nose.  After insisting I wanted to be seen by a doctor I was finally treated 30 minutes later.  And this isnt just me, I know of an instance where a patient was sent home several twice with the hospital stating they were fine, later that day they went back in and were admitted for 11 days, not sick huh? Whos to blame for this?  In this case I blame Senator Shenton, the man has no idea about health services and should not be in his current position.  Also on the subject of hospital food I would like to point out that the evening meal provided to all patients is actually outsourced to Empire Catering.  Seems the hospital cannot make sandwiches and soup themselves, also looking in the news Empire Catering dont exactly have a stunning record for food hygiene.  So this begs the next question whos got the link to Empire Catering in the States as im sure its a good earner with the owner of Empire Catering driving around in a brand new Range Rover Vogue.

Thats gross alot of that food has mayo on that should be kept in a chiller a long with the prawn sandwiches i remember being on the trolley!
Well im off to a UK hospital in 2 weeks for a day i will be comparing the dif between Jersey and there, i will prob end up back in the UK for an operation as well so watch this space for the update!


p.s did I mention that Empire Catering deliver a large amount of sandwiches in non chilled vans?
Title: Re: Jersey General Hospital
Post by: Davros Le Sueur on May 13, 2008, 03:53:34 PM
When I was in recently I was served the most disgusting gloop imaginable.

At least if I had got food poisoning I was in the right place, rather than a school ;)
Title: Re: Jersey General Hospital
Post by: corkie on May 29, 2008, 10:59:58 AM
Well guys i am about to do a stint in a UK hospital so i will update you all in a few weeks when im back on the condition of the hospital, treatment, cleaness, and food etc should be intresting as i have seen the outside and it looks pretty run down!!
Title: Re: Jersey General Hospital
Post by: Overandout on May 29, 2008, 01:19:10 PM
Which hospital you going to Corkie?
Title: Re: Jersey General Hospital
Post by: Hayesann on May 29, 2008, 04:43:19 PM
Well guys i am about to do a stint in a UK hospital so i will update you all in a few weeks when im back on the condition of the hospital, treatment, cleaness, and food etc should be intresting as i have seen the outside and it looks pretty run down!!

I hope your stay and treatment goes well. Appearences can be deceptive!  :)
Title: Re: Jersey General Hospital
Post by: corkie on May 29, 2008, 05:31:12 PM
im going to Basingstoke hospital it doesnt look much from the outside fingers crossed the inside and wards are better!
 
Title: Re: Jersey General Hospital
Post by: RACER X on May 29, 2008, 06:22:22 PM
Good luck  :-*
Title: Re: Jersey General Hospital
Post by: newmac on May 29, 2008, 08:19:27 PM
My wifes appointment was at 5.15 pm on a Tuesday, I got a text off her to say they were running a bit late, she finally got out of the hospital at 7.40 :o

They couldn't complete all of the scan as they had forgot to get her in for blood test's before the scan, so had to back to the hospital the following morning for the blood tests, then back on the Friday morning to finish the scan. If it wasn't covered under the insurance I would tell them to stick the £600 bill for the scan.

Just an update we've just recieved the bill £1300 for 2 mri scans >:(
Title: Re: Jersey General Hospital
Post by: newmac on May 29, 2008, 08:22:52 PM
Well guys i am about to do a stint in a UK hospital so i will update you all in a few weeks when im back on the condition of the hospital, treatment, cleaness, and food etc should be intresting as i have seen the outside and it looks pretty run down!!


I hope all goes well for you.
Title: Re: Jersey General Hospital
Post by: corkie on May 29, 2008, 08:33:48 PM

Thanks Guys for the support!
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on May 29, 2008, 08:57:34 PM
We all wish you the best Corkie!  You will be okay  :)
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on June 09, 2008, 08:40:58 PM
Was speaking to Corkie just now, food is way better in the Basingstoke Hospital then here.  Says the dinner menu today for example is choices of Chicken Kiev, Minced Beef, Leek Mormay, Ploughman's Salad, Mashed Potato, Parmentier Potatoes, Mashed Swede, Baked Fresh Tomato, Bread and Buter Pudding and Custard, Ice cream, Sago Pudding, Fruit, Cake Bar.

Says that in the Jersey Hospital a lot less choice and is lousy anyway. 
Title: Re: Jersey General Hospital
Post by: corkie_1 on June 20, 2008, 11:12:15 PM
well guys im back from my ordeal in the UK:
there is a big dif between the UK hospital i was in (Basingstoke) and Jersey, the care i had was A1 my surgeon was A1 (thank god)
The hospital was clean as u walk in the main front door there is a machine talking to you to clean your hands with that hand cleaning Gel so u have to walk past it to get in the hospital, i was swabbed several times whilst i was there for MRSA testing which is a good thing (I didnt see or have any MRSA tests in Jersey when i did my stint there)
I was lucky enough to have a room to myself which was cleaned everyday even when i was really poorly for the first few days after my operation the cleaners still came in washed the floor and cleaned everywhere i also had my own bathroom which was cleaned daily!
The other plus was every bed in wards had there own TV it was like a little flat screen thing on a bracket from the wall which you could move around it had a phone on it and internet access, you had to pay to use it, £3.50 for 24 hours which was ok when your stuck there with nothing to do its a god send you get head phones with it so you can draw your curtains and watch TV all nite if u wanted to without disturbing anyone else.
The food was much better then Jersey as you can see from JTM's previous post there was a menu everyday and you pick from it what you want for Breakfast, lunch, dinner, nothing was ever to much trouble for the nurses and i was very poorly after my operation and they were really great with me not sure i would have had thar care here you seem to get given you own nurse on each of there shifts over 24 hours so every day i had the same nurse which was great that nurse gets to know u and you get to know her/him which is much nicer when you feel like cr*p.
Dont get me wrong it wasnt ideal having to travel to the UK for my operation but im pleased i did as i dont think Jersey could have givin me the amount of care and attention i received.
So now i have got a long 8 week at least recovery but at least im home to do that!

Just one other thing i couldnt travel back by myself so my mother flew over to get me and bring me back at my expense of £212 return flight Jersey DO NOT pay for another person to do that so i would have had to travel on my own 7 days after having major abdominal surgery. I think Jersey need to look at that im sure there would be people that wouldnt have the money to pay for someone to travel with them at there expense.
What would the patient do then!!!????
 
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on June 22, 2008, 04:56:37 PM
Welcome back to the rat race corkie!  :-*
Title: Re: Jersey General Hospital
Post by: ageofaquarius on June 22, 2008, 10:39:41 PM
Welcome back Corkie, glad all went well.  From what you say I presume you went private.  Jersey hospital will pay for an escort if one is needed, but not if you have private insurance. 
Title: Re: Jersey General Hospital
Post by: Hayesann on June 22, 2008, 10:59:05 PM
Hi Corkie, glad it went well. I am aware of lots of people, who have had to pay for people to, accompany them back or to Hospitals in the UK.  I too think this is wrong, it is unfair on many levels, to expect someone to travel without any one. It should be policy to pay. What does anyone else think?  ???
Title: Re: Jersey General Hospital
Post by: ageofaquarius on June 23, 2008, 08:01:10 PM
Depends on if you are able to make it there and back on your own, also if you earn over a certain amount (think its £60K per household) then you pay.  As these fares come from the taxpayer, the hospital has to justify giving patients escorts.  Some people really take the piss and others wouldn't dream of even asking and pay their own way to escort.
Private insurance companies pay the patient NOT to claim private health care and reward them with a cashback, thereby saving the company ££££'s, so the patient gets some cash, the company save a wedge and the hospital lose important revenue.  What do we all feel about that! Not a good state of affairs. 
Title: Re: Jersey General Hospital
Post by: corkie_1 on June 23, 2008, 10:11:20 PM
I didnt go private i was just lucky enough to have my own room in the UK hospital,
there is a means test in jersey as well i fell in to the bracket of if i earned over 43k then i would have had to pay for my own flights etc..... but u tell me what single mum earns 43k or any women unless in a high flying job! that did make me laugh.

What got me tho was the fact i had to go to the UK for my operation as Jersey could not do it here (not my fault) so i had my major abdominal surgery get told 7 days later you can go home but have a list of do's and dont's which meant i couldnt travel back on my own as i had a suit case with my PJ's etc which i couldnt lift as i cant lift or carry anything for at least 6 weeks but there is no help with the finacial side of things re paying for a person to come over and help me get home!

What if i had been an OAP who is a little bit dotty and had to travel to the UK for some sort of treatment or operation would they expect an 80 year old to travel by themselves (no) i dont think so, this is what is happening with my Grandparents, my Gran has to go the UK for treatment because Jersey doesnt do it here (surprise surprise) she is 83 years old so my Grandad has to go with her and all at his expense!

Not fair i think for these people who have worked all there life and paid tax and social and at the end of the day they now have to pay to get the treatment needed because Jersey cant supply it!
Sorry thats me getting on my soapbox but surely its not right!!!???
Is It?
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on June 23, 2008, 10:17:31 PM
No it is not right and I am surpised this problem hasn't really been brought up before.
Title: Re: Jersey General Hospital
Post by: danrok on June 23, 2008, 10:30:31 PM
Not fair i think for these people who have worked all there life and paid tax and social and at the end of the day they now have to pay to get the treatment needed because Jersey cant supply it!
Sorry thats me getting on my soapbox but surely its not right!!!???
Is It?

It's the way it works, no doubt about that.

My Grandmother has to live in a home due to the care she needs.  It costs a serious amount of money.  Fortunately, we are a big family and can manage to cover it.

Meanwhile, if a person is truely poor and has nothing at all, then the state will pick-up the bill.

You only get to pay nothing, if you really have nothing, regardless of how much tax you've paid in the past.
Title: Re: Jersey General Hospital
Post by: corkie_1 on June 23, 2008, 10:42:50 PM
so then it makes me wonder then mabe we should all enjoy our life's spend all our money having fun and not saving for our old age or buying a house etc etc ... so when we get old the state will pay?
im not sure sure about that!
And yes i agree with u Care homes are really expensive!
Title: Re: Jersey General Hospital
Post by: danrok on June 23, 2008, 10:48:40 PM
The only flaw with getting the state to pay is that the state doesn't really pay for anything!  Those paying taxes right now foot the bill for the retired needing medical care.

So, I wonder what would actually happen if most of us spent out before retiring?  I guess the younger generations would get hit with a tax bill, like no tax bill ever seen before, and promptly give a two-fingered salute!
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on June 23, 2008, 10:54:52 PM
And to top it all the States do not give young people any incentives to save either. >:(
Title: Re: Jersey General Hospital
Post by: ageofaquarius on June 23, 2008, 10:58:39 PM
Now we are cooking!  Corkie you are quite right in expecting an escort to help you return to your home town, I assume you would have to negotiate your way to a railway/bus station then the airport feeling less than fabulous, your health is the most important thing you have, however, the powers that be are putting the screws in and le sewer & co are continually bullying consultants to cut costs.  But please be aware that they will help with the costs for the elderly and quite often supply a nurse to escort them to a UK hospital and back again, but if your're youngish & reasonably fit, then I'm afraid its up to you unless you kick up a fuss, and then they will help if you just shut the f*c* up!  Problem is we have so little revenue from the private sector which helps finance the hospital.  The only state run busines is probably (or was) the harbour... as I have previously said if private insurance companies played the game instead of rewarding private patients to go public, I think we might have some more sheckles in the pot, but we ain't and thats the way it is.  Why this is allowed to continue I have no idea.
Title: Re: Jersey General Hospital
Post by: ageofaquarius on June 23, 2008, 11:07:57 PM
The only flaw with getting the state to pay is that the state doesn't really pay for anything!  Those paying taxes right now foot the bill for the retired needing medical care.

So, I wonder what would actually happen if most of us spent out before retiring?  I guess the younger generations would get hit with a tax bill, like no tax bill ever seen before, and promptly give a two-fingered salute!

Quite right too.  When my mortgage is paid off at 68!! I will probably need some kind of care, but as I am a homeowner and have NEVER claimed a penny off the state in any way (except in maternity) I will probably be expected to sell my house to pay for the care I may receive in a so called care home, huh!! so the home I saved for, never asking the states to house me, I would say to my one and only, sorry love, I need to sell up so I don't piss my pants in public.  May as well of just gone on the piss all my life, taken a whatever job and the states would put me in one of their luvely homes (the private ones are MUCH worse) and happy days, don't cost me a penny.   Something just don't make sense here. 
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on June 23, 2008, 11:19:45 PM
Do you not get tax relief on your mortgage?
Title: Re: Jersey General Hospital
Post by: ageofaquarius on June 23, 2008, 11:28:12 PM
Do you not get tax relief on your mortgage?

Very little considering the interest I pay to the bank. I think I am 3% better off
Title: Re: Jersey General Hospital
Post by: Overandout on June 24, 2008, 02:15:47 PM
What a bunch of moaners. I wish I had 3 per cent less on my mortgage.

As for the hospital situation, here's some news for you. That bed Corkie had at a UK hospital probably would have come at the expense of a UK patient. What I mean is, because Jersey's Health department pays top dollar for your treatment in the UK there tends to be none, or at least certainly less of all that nasty waiting list business that you would have had to suffer as a mainland patient.
So while you might complain that the States won't pay for a friend or relative to accompany you back, at least be grateful that you have managed to jump the queue that most mainlanders have to wait in for your treatment. In the most extreme cases, better to be returning home alone and alive, than surrounded by chums and dead.
In my experience (we've had three relatives flown over to the UK in the last five years - two emergencies in private ambulance planes, all at the States' expense) the hospitals and airlines involved in bringing you back home will do everything necessary to make sure you are cared for until to reach the arrivals gate at Jersey Airport - it may not be ideal, but you will not be left to fend for yourself.

(As an aside, for anybody who wants to invoke the old "I've paid my taxes..." argument for getting what they want - UK mainlanders would have had to have paid a higher relative rate of tax than you for the privilege of being in that waiting list - so in effect they've paid more tax for worse health care)

There, that's my rant. Seriously, I think islanders do OK when it comes to mainland hospital treatment.
Title: Re: Jersey General Hospital
Post by: danrok on June 24, 2008, 03:33:55 PM
Jersey has a reciprocal arrangement with the UK, meaning all those UK folks are entitled to treatment when they're holidaying/working in Jersey.

If someone from the UK was on holiday in the USA with no medical cover, they would get hit with a huge bill if they ended up in hospital.
Title: Re: Jersey General Hospital
Post by: Overandout on June 24, 2008, 04:24:55 PM
Actually you're quite right, and I hadn't really considered that when I wrote what I did above. The cynical person would suggest the majority of the island's tourist market is made up of people on the cusp of taking full advantage of the General Hospital's facilities!

I still think islanders do OK though.
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on June 24, 2008, 06:41:29 PM
I don't think you can really judge it until you are force to use it!

A member of my family has had operations in the general and the UK and has never really commented about either to be honest.

I think he was just glad to be fixed and allowed to go home! 
Title: Re: Jersey General Hospital
Post by: ageofaquarius on June 24, 2008, 09:43:14 PM
Spot on overandout. We don't realise how lucky we are with our hospital, hopefully because the majority of us havent' had to use them.  UK residents come over here on holiday with a dicky heart, turn up in A&E and get sorted, whereas they would be waited for 18 months at home for the same treatment.  When a local goes to the UK for treatment, we get a bill from said hospital.  I think our local hospital does a tremendous job considering the cut backs imposed
 
On another note, what I meant is my tax bill is 3% less than previous cause I'm earning less, nothing to do with my mortgage, in reality it's probably 0.03%.
Title: Re: Jersey General Hospital
Post by: corkie_1 on June 25, 2008, 09:20:12 PM
i can understand where u are coming from and i agree that Jersey and the UK hospitals do a great job but when it comes down to it all re the Cost of it all

Why cant Jersey do the treatment and we have to go to the UK?

I can think of a few reasons!

Title: Re: Jersey General Hospital
Post by: corkie_1 on July 16, 2008, 07:00:49 PM
I was just watching the channel news and was shocked at what i saw and heard about a man who has cancer and the only treatment left to him is a bone marrow transplant which thankfully a match has been found. he has to go to the UK for a few months for this treatment but what a surprise there is no accomodation for his partner and baby to go over and support him.

I think this is really bad as this family have enough to deal with without the worry of accomodation problems so it comes to something when they are asking on channel TV if islanders can help with somewhere for his partner and baby son to stay!

I am really now starting to wonder what jersey hospital can do! because the more people i speak to since my illness tell me that what ever has been wrong with them they have had to go to the UK for treatment/operation.
I have had first hand experince all of this with regards to having to travel for treatment and the accomodation side of things.

It breaks my heart to see and hear all the terrible stories i keep hearing about with regards to people's medical probs and travel etc etc!

With all this money jersey have why cant they spend it on the health side of things for the people of jersey (instead of some stupid new road on the front at west park area).
When people are poorly the last thing they need is the hassle and stress of any extra probs and there always is probs when you have to go away for treatment.

I hope this family get thru the next few months and someone somewhere can help to accomdate the girlfriend and his son because jersey obviously cant!
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on July 16, 2008, 07:10:32 PM
It all sounds pretty gloomy.  I can see where you are coming because they do waste a lot of money elsewhere.  But then again, would tax payers be happy about money being spent to put up sick people's families?  I can see both sides of the argument.
Title: Re: Jersey General Hospital
Post by: corkie_1 on July 16, 2008, 07:20:34 PM
yes i know but if u were sick would u like to go for treatment and be on your own for entire time? 
most hospitals have on site accomodation which has to be paid for, when i was in the UK in june having my operation my mum came with me and stayed in the on-site accomodation which we paid for, most peole would pay for the accomodation if it meant they could be with there loved one! but it comes to something when Jersey cant sort something out for this man's girlfriend and son!

Title: Re: Jersey General Hospital
Post by: Jason the Maverick on July 16, 2008, 07:21:39 PM
yes i know but if u were sick would u like to go for treatment and be on your own for entire time? 

Depending on the length of time some people do.  If I was sick nobody would know and care anyway  :'(
Title: Re: Jersey General Hospital
Post by: Al on July 16, 2008, 07:34:38 PM
That's so sad JTM... I'm sure we'd all miss you...
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on July 16, 2008, 07:41:26 PM
No they all hate me, I get a right slagging off on some of the other desolate forums lol.  But I say what I think and my views is as good as anybody else's  ;)
Title: Re: Jersey General Hospital
Post by: corkie_1 on July 16, 2008, 07:49:21 PM
kinda getting off the subect!
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on July 16, 2008, 07:55:15 PM
Well I think some people want to be by themselves when they are ill.
Title: Re: Jersey General Hospital
Post by: Hayesann on July 16, 2008, 08:01:51 PM
There is a difference between being on your own, when ill, in the place you live. To being in the UK and no one near you! A BIG difference!  ::)
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on July 16, 2008, 08:12:03 PM
I agree, but sometimes people don't want others around them worrying.
Title: Re: Jersey General Hospital
Post by: corkie_1 on July 16, 2008, 08:37:26 PM
i couldnt have got thru my ordeal without having my mum there for support i did a stint in jersey to and there is a huge difference between bering ill here with support on the doorstep and being in the uk with no friendly face!
Title: Re: Jersey General Hospital
Post by: Jason the Maverick on July 16, 2008, 08:40:39 PM
Okay, lets give you another example.  You have just come out of a 12 hour operation.  Do you think you are going to look radiant afterwards?  I know what its like to be ill and looking rough.  Some people really don't want to see others.
Title: Re: Jersey General Hospital
Post by: corkie_1 on July 16, 2008, 09:17:43 PM
thats is true but if i feel that bad which i did after my 4 and half hour op i really couldnt care what i looked like but knowing someone was there for me was nice and comforting!
A lot of people are not that vain when there are ill !
 
Title: Re: Jersey General Hospital
Post by: ageofaquarius on July 16, 2008, 10:13:58 PM
Apparently vanity is the last thing to go, lol ::)
Title: Re: Jersey General Hospital
Post by: newmac on July 16, 2008, 10:30:37 PM
I don't care what I look like when I'm not ill ;D
Title: Re: Jersey General Hospital
Post by: Hayesann on July 17, 2008, 01:57:20 PM
I agree. Compassion and support is all you need, when ill!  :)
Title: Re: Jersey General Hospital
Post by: boatyboy on January 23, 2009, 05:27:26 PM

THERE is a nursing crisis in the Island’s hospitals as a result of staff shortages and poor pay levels.

Nurses are working ‘horrendously’ long hours and many are breaking down in tears because they cannot give patients the care they need. Latest figures released by the Royal College of Nursing showed 64 vacancies in general and acute nursing personnel as well as 19 in mental health services.

The nursing unions say that not only have patients being turned away from elective surgery but others have been discharged early when they should not have been. This has led to readmissions and in one case the patient was rushed into the intensive care unit.

http://www.thisisjersey.com/2009/01/23/hospital-crisis-severe-shortage-of-nurses/

Ambulance staff want more money, ( don't we all )

Association spokesman station officer paramedic Richard d’Ulivo-Rogers said: ‘I would like to make clear that we are not carrying out industrial action. Our staff are quite simply working to their contract, no more and no less. If an emergency call came in one minute before the end of that person’s shift, they would as normal still respond.’
The pay dispute was sparked by the revelation that civil servants answering 999 calls in the joint emergency services’ control room earned more than ambulance crews.

http://www.thisisjersey.com/2009/01/22/states-hr-chief-ambulance-staff-action-is-illegal/


To many non-job managers with clip boards maybe, consuming to much money, resulting in a breakdown of service.

Boatyboy
Title: Re: Jersey General Hospital
Post by: rogueelement on January 23, 2009, 07:31:53 PM
BoatyBoy , If I had a hat I would doff it in your general Direction.
Title: Re: Jersey General Hospital
Post by: danrok on January 23, 2009, 08:00:02 PM
Anyone who works on the front line saving lives, deserves every penny they are paid, and a lot more besides.

And, I agree, time to trim off the management fat, and use the money saved to pay/help those doing the real work.
Title: Re: Jersey General Hospital
Post by: Fritz on January 23, 2009, 10:38:39 PM
Same old, same old.

When any industry, business, whatever has to ,"Tighten its belt", the first to go are the staff at the frontline.
Management are instructed to cut costs. Do they ever start by getting rid of management or administration staff?

In a nut-shell, when cost-cutting is enforced, it is generally the people that actually do the real work, or produce the product that are first to be jettisoned.

"Turkeys dont vote for christmas", and all that.
Title: Re: Jersey General Hospital
Post by: churchill on January 23, 2009, 10:58:04 PM
The truth is our lousey politicians are not taking care of this island and we really need to get out there and protest like they are in norway and other places were governments are failing the people.
WAKE UP JERSEY . THE LIGHTS ARE GOING OUT FAST ON THIS ISLAND .
Title: Re: Jersey General Hospital
Post by: gladiator on September 12, 2009, 02:57:12 PM
Failure of data protection at Jersey General Hospital
JEP news report ( 11th September) : Health are failing on security http://www.thisisjersey.com/2009/09/11/report-health-are-failing-on-security/

This interesting and at the same time in my humble opinion sad report with regards of letting the Jersey people down again I do have some questions to this JEP report.

How can the Health &Social Services department say "  although the report does identify potential areas of data  security  weaknesses, Health & Social Services believe their track record  on security to date to be exemplary ".

Who are they kidding?
Does that also account for their health service they are providing with no published or for the public non accessible hospital performance statistics comparable to the UK standards?
Click on the Department of Health website: http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performancedataandstatistics/DH_077387

I am aware that Jersey General Hospital does not have to follow the English NHS regulations / standards but I would not accept this obviously utterly low standard of data protection of my medical records in the UK. The report reveals very blunt breaches of the human rights of privacy and confidentiality in the health services or is it carelessness ?
The reported exemplary track record of the H & SS department with regards of data protection  appears to be not available on the Jersey data protection government website with regards to the health services statistics:
 If you click on the following link, you will find an empty site: http://www.dataprotection.gov.je/cms/GeneralInformation/Statistics/   

Interestingly the Jersey Data protection Commissioner claims  " to promote respect for the private lives of individuals through ensuring privacy of their personal information by:-
? implementing and ensuring compliance with the Data Protection (Jersey) Law 2005, and; influencing thinking on privacy and processing of personal information matters on a local and international basis.
? maintaining a Statutory Register of personal data users who are processing personal information in Jersey"
Click on link: http://www.dataprotection.gov.je/cms/

What does " local basis" actually mean ? Would that allow for example, Social security to access personal bank details without asking / informing the individual which would breach the Data Protection Law 2005?
Click on link: http://www.dataprotection.gov.je/NR/rdonlyres/127C8A85-2AB5-4700-91AB-D1E61E22D7C7/0/AnnualReport2008Final.pdf

Further in the report, what does the States deputy chief executive Mr John Richardson mean with " In future, the maintenance of data protection will be the responsibility of the director of information services." According to the report he also said" A security officer will also be appointed …, ... and to manage a training and development plan for staff" .
Considering the Data protection law has been in place since 2005, I would have thought  that a training development plan, staffing and security issues were dealt with at that time and not 4 years later or in an undefined future.
Title: Re: Jersey General Hospital
Post by: boatyboy on September 13, 2009, 09:19:40 PM
ageofaquarius

To quote you if I may.

I know of several people who work at the hospital who work extra hours just to keep the workload down but don't get paid overtime (civil servants don't) they are supposed to take the time back but due to overworked departments never get the opportunity.  One of my colleagues worked over 40 hours in overtime last year. effectively for free; its the cutbacks kicking in you see! The work HAS to be done.  I do get fed up with being lumped in as an overpaid underworked civil servant, I know there are some freeloaders but the majority work long and hard for just about enough.  

I have friends who are civil servants and yes they work hard and are dilligent, but they get paid rather well. They are also keen to point out union rules should they be expected to take on duties that are not in their work contract, or work for nothing. To be honest I don't blame them.

As you can see from Gladiators responce ( post 84 above this one )which I find shocking, there are no statics regarding Jersey Hospitals performance unlike the NHS Hospitals. This also includes data protection ( read above).

I would suggest ( but without statistics can not prove ) Many at the Hospital are having a laugh at the real world. You at least put your point of view,and care enough to communicate on PJ, an honourable person no doubt.

This it is a small island, not so much of a Jersey grape vine more a tree of information, have you tried to see a consultant recently without a cheque book handy?


Boatyboy
Title: Re: Jersey General Hospital
Post by: ageofaquarius on September 14, 2009, 08:13:30 PM
When I was referred to a consultant I was seen pretty quick, and I wasn't staff at the time.  If your GP sends an urgent referral they will see you; maybe not the consultant but you will be seen by his registrar who will do the necessary, order x rays, MRI etc; of course private insurance will get you the consultant at his private rooms and a more personal service.
Title: Re: Jersey General Hospital
Post by: Fritz on September 14, 2009, 08:58:24 PM
If you still have over twenty-five years of work,(and SS contributions), left in you, you will be dealt with pretty quickly.
Title: Re: Jersey General Hospital
Post by: Calimachon on September 14, 2009, 10:00:10 PM
I asked to see a consultant for a problem that was affecting me badly and a letter came back from the consultants office to say that I was on a list ready to be put on the waiting list.

I phoned the consultant's office and very politely said that I had had this terrible problem for about two years and the GP could not assist and the problem was getting far worse, I was beginning to suffer really badly and could not walk correctly, if at all some times.  It would appear I laid it on thick but to be honest it was that bad.  I received a letter within days to visit the consultant who after a period of a month solved my problem and we are all happy. 

I would suggest that if ever you get a communication that does not satisfy your needs it would be a good idea to ring the department concerned and very politely give further information as to why you should be seen sooner.  If there are very good reasons you will be seen. 

Now we are all happy.  I am off their waiting list and walking properly again and I am feeling 100% better. 

Isn't life grand
Title: Re: Jersey General Hospital
Post by: boatyboy on September 25, 2009, 10:48:30 AM
JEP. Quote

As the debate moved on Senator Shenton and Senator Ozouf clashed again, this time over the state of Health's finances.

Senator Ozouf accused former health ministers of incompetence and said the budgetary issues facing the department are due to the incompetence of those ministers and their inability to manage the department.

How many times we have heard the phrase you are only as good as your staff. Is it fair of Senator Ozouf to lay all the blame on Ben Shenton or Jim Perchard for incompetence at the Department of health?

There are more than twenty managers at health and also top man Mike Pollard the chief executive to deal with the day to day running of a £167 million pound service.

Policy issues and funding linked to quality of service should be the job of Minister of health not sitting behind a desk doing what health administrations and managers are supposed to do, running the show.

It follows that information forwarded to the Minister submitted by top health care management must be accurate and true to purpose. If found to be lacking, this puts the Minister in an untenable, difficult position to carry out his duties. There are hundreds of highly qualified intelligent professional diligent civil servants / managers carrying out their duties effectively. Then again if problems are occurring in States administration, which they are, then by default some are not.

I have been accused as a copy and paste blogger. Sorry if that offends you, but to be honest I really don't care. If it is in a report then it’s a record written by people who probably have far more knowledge than myself. This then has to stand up to scrutiny, your scrutiny.

A point of view should be reinforced with factual evidence. That’s what I try and offer.

Stuart Syvret attempted a very forward looking report which mentions lack of management skill and other problems, forgotten in the passage of time. It makes interesting reading, if carried through may have dealt with many issues on the table now. Make your own mind up.

Quotes are selective please hit link below.

And in that critique, I addressed the issues of funding – head-on – several times over.

And it fell to me to do this – because the “expert” senior managers in Health & Social Services – those who wrote the draft New Directions document - had utterly failed to.

You see, having waited impatiently several years – for a group of very highly paid, supposed experts in health & social care – at a combined cost that probably ran into several millions of pounds – to produce this new, strategic document – I eventually received a draft.

And was rendered speechless at just what a defective, inadequate, unfinished, incompetent, ignorant and wretched steaming pile of horse-dung the document was.

Health & Social Services is under great pressure and scrutiny from other States members, civil servants and the tax-paying public in respect of our costs. Such pressure will only ever increase. We may be satisfied that we are delivering a service that is value for money, but others are not. We must find new ways of transparently demonstrating that we are an efficient organisation.

20: I was surprised at how little nursing and nurses featured. Nurses are crucial to pretty much all we do. We face a variety of challenges in recruiting and retention. There is a world-wide shortage of nurses. How do we propose to strategically plan to deal with this problem?

No discussion of how health-care spend be transparently and externally monitored, to ensure efficiency and value for money.

HEALTH & SOCIAL CARE IN JERSEY:

http://stuartsyvret.blogspot.com/2009/01/health-social-care-in-jersey.html

Boatyboy.
Title: Re: Jersey General Hospital
Post by: ole razzy on September 25, 2009, 11:47:12 AM
When I was referred to a consultant I was seen pretty quick, and I wasn't staff at the time. 

Sorry to piggy back your post BB but I just have to ask this. If you are a civil servant working for health do you get priority treatment?
Title: Re: Jersey General Hospital
Post by: ageofaquarius on September 26, 2009, 10:53:15 AM
Whats this I read on SS blog; Mike Pollard Gone, Richard Lane & Bill Ogley Going!! is this true, anyone out there know whats happening, I do know that the whole John Day thing has to be sorted out, its been going on for far too long, but Bill Ogley! and is Pollard resigning or been given the heave ho, are they doing to him what he did to others?
Title: Re: Jersey General Hospital
Post by: rico sorda on September 26, 2009, 10:58:36 AM
I hope these guys stay so they get sacked or it will just be golden handshakes...

Rumor has it that pollard will be leaving on compassionate grounds oh how my guitar gently weeps  ::) ::) ::) ::)

Sack the lot

rs

Title: Re: Jersey General Hospital
Post by: boatyboy on September 26, 2009, 11:31:28 AM
I like facts Rico, but I have been told by political contacts a couple of "things" which are just that but are strong enough and from good sources so, although not facts, hold enough water to share with PJ readers and members.

When CM Franky changed Top executives of departments to 3 or 5 year contracts on the understanding they could be asked to go. I have since heard they were allowed ( invited ) to write their own biased expensive one sided contracts in their own favour, with very big remuneration.

Mike Pollards contract finished in May this year. Furthermore the power fully placed Senator Ozouf ( who is no fool ) wants him out, due to the incompetant running of the Hospital.

Bill Ogley is up for retirement any way, Richardson is ready to step into his highly paid shoes.

Regarding the 14 Chief Executive contracts ( without the executives name being added) should be put in the public domain to show exactly what the public are paying for perks and all why not its taxpayers money, not a private company. Type in Mike Pollard into google it will tell you his responcibilitys but not how much he costs the taxpayer?

None of the above should be considered fact, if you are an insider and have further information please tell, the islanders and the Americans, Russians and 9 other countries that read this site. Only people scared of the truth, are those that don't use it.

BB

 
Title: Re: Jersey General Hospital
Post by: Dylan on September 29, 2009, 08:36:51 PM
It's called "Riding the Pig", an allusion to the boy who rides his Pig to the slaughterhouse because he's too lazy to escort it!

Pollard has been doing this since day 1 and has been caught out fair and square.
Title: Re: Jersey General Hospital
Post by: ole razzy on September 29, 2009, 08:50:27 PM
It's called "Riding the Pig", an allusion to the boy who rides his Pig to the slaughterhouse because he's too lazy to escort it!

You is on da wrong thread bro. Get back to Mrs Murphy's sausages!
Title: Re: Jersey General Hospital
Post by: shaunsky1 on January 10, 2010, 06:03:43 PM
hi guy's  this i must tell you my wife comes home every day and tells me of the abuse that staff get one example she left at 6.45 to get to work on time but as it was so cold and ice was bad she thought to take it easy so arrived 15 Min's late she was met with o you got here then why did you not leave sooner to get here this was from a member of staff that only lives 5 Min's away we live 30 35 Min's walking on a good day
when the manager of that section arrived he said thanks people for getting here
 who gave that other member of staff permission to upset staff in that way why not just say hi glad you got in thanks end of
this goes on day after day if you talk to the manager you get well there are other jobs
my wife never goes sick they just dont give a sh***t about there staff 
Title: Re: Jersey General Hospital
Post by: ageofaquarius on January 10, 2010, 08:40:56 PM
hi guy's  this i must tell you my wife comes home every day and tells me of the abuse that staff get one example she left at 6.45 to get to work on time but as it was so cold and ice was bad she thought to take it easy so arrived 15 Min's late she was met with o you got here then why did you not leave sooner to get here this was from a member of staff that only lives 5 Min's away we live 30 35 Min's walking on a good day
when the manager of that section arrived he said thanks people for getting here
 who gave that other member of staff permission to upset staff in that way why not just say hi glad you got in thanks end of
this goes on day after day if you talk to the manager you get well there are other jobs
my wife never goes sick they just dont give a sh***t about there staff 


whoever said that to your wife has an attitude problem, she is not a manager (thank goodness) and has no right to talk like that, treat it with the contempt it deserves, unfortunately bullying doesn't just exist at the hospital but in all jobs. I was unable to get in at all on Wednesday, no buses and the roads were to slippery too drive, my manager understood, but I'm sure some of my colleagues whispered behind my back - women can be such bitches. 
Title: Re: Jersey General Hospital
Post by: Chevalier Blanc on January 10, 2010, 09:47:20 PM
In the late 70's a senior manager with the JEC started to walk to work because of the snow. The police had kept given out instruction to the public do not go out walking unless absolutely necessary meaning life. I cannot remember the manager's name but he slip about 100 yds from his house hit his head and died. Some mangers tell their staff if you live within a radius of half a mile i will expect you to walk. H & S  would be on anybody's side if they did not turn up for work and i would have reported that manager who said that to you as BULLY
Title: Re: Jersey General Hospital
Post by: man in the street on January 10, 2010, 10:41:50 PM
i am with you on this cb, to bully people into work is wrong,  you may slip and land on your backside if lucky, if unlucky you could looking at brain damage.
 i got to work, and the wife, due to tts gritting grouville hill in time(we done tts).
 this could  be why we have so much, development of flats in st helier, so as the office fodder can live near by.
Title: Re: Jersey General Hospital
Post by: Chevalier Blanc on January 11, 2010, 03:18:05 PM
Now that is a good point there about flats in town.
Title: Re: Jersey General Hospital
Post by: rogueelement on January 11, 2010, 10:10:29 PM
any response to spunkski is a waste of time , he is not here to discuss anything, he is here to extract the urine.........Even an imbecile sometimes uses a comma or a full stop. The guy is winding you up.
Title: Re: Jersey General Hospital
Post by: Fritz on January 12, 2010, 01:04:24 AM
man in the street
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   Re: Jersey General Hospital
« Reply #99 on: January 10, 2010, 10:23:50 PM » Quote 

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i am with you on this cb, to bully people into work is wrong,  you may slip and land on your backside if lucky, if unlucky you could looking at brain damage.
 i got to work, and the wife, due to tts gritting grouville hill in time(we done tts).
 this could  be why we have so much, development of flats in st helier, so as the office fodder can live near by. 
 
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Chevalier Blanc
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   Re: Jersey General Hospital
« Reply #100 on: Yesterday at 03:00:05 PM » Quote 

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Now that is a good point there about flats in town.
 
 
Are you two joined at the neck?


Title: Re: Jersey General Hospital
Post by: rico sorda on January 12, 2010, 01:30:42 AM
any response to spunkski is a waste of time , he is not here to discuss anything, he is here to extract the urine.........Even an imbecile sometimes uses a comma or a full stop. The guy is winding you up.

Ha Ha i love it sparty lets also chuck in Wazza Rooney christ reminds me of the Iraqi high command during the last golf war just brilliant.

hang on let me have a go lenny harper found a coconut and it fell off a chair hahahahahahahahahahahahah holy shit  ;D ;D ;D ;D brilliant just brilliant

Next

rs

Title: Re: Jersey General Hospital
Post by: rogueelement on January 12, 2010, 01:40:46 AM
Come on rico , don,t tell me you think Spunkski has anything to add really?
I,m of half a mind that it might be de bumble bee doing reverse physchology to damn your lot with faint praise . either that or he really is a feckin thick piece of timber , glad he is not on my side!
Title: Re: Jersey General Hospital
Post by: mod5 on January 12, 2010, 02:06:57 AM
Play nicely please. Everybody is entitled to their point of view and remember the rules about personal insults. PM's have been sent to all concerned.
Title: Re: Jersey General Hospital
Post by: rogueelement on January 12, 2010, 02:28:24 AM
Extremely sorry sir !
I thought spunkski was an agent provocatuer , trying to damage the views of our illustrious kimbleites by being gratuitously thick.
If he is not , then I apologise to him and hope that he can seek the help he seriously needs .
Title: Re: Jersey General Hospital
Post by: boatyboy on February 03, 2010, 06:29:11 PM
The Verita report was published complete with addendum  in full detail and with easy find index. This is an excellent plus for our Minister Anne Pryke. This action of publishing  fully on the internet is exactly what is needed, and should be applauded.

The long and detailed report, takes much reading, and the fact that the widest views and conclusions will be brought forward by the properly informed public on the islands blogs and else where, will be of considerable use to those in Government and can only be a positive.

Whether the old damaged management survive at the hospital is yet to be seen.
  
Deputy Roy Le Herissier feels outside management needs to be imported and Minister Anne Pryke is given a very hard time by the reporter on who is accountable, and tries to side step the question several times, worth viewing.

Please click on link.

http://www.channelonline.tv/channelonline_jerseynews/DisplayArticle.asp?ID=481240

Boatyboy
Title: Re: Jersey General Hospital
Post by: Bentos on February 03, 2010, 08:24:15 PM

Well at least she did not sidestep as far as London.
Title: Re: Jersey General Hospital
Post by: Durendal on February 03, 2010, 09:31:45 PM
Okay I posted this on a forum about his blog but this man is a guttersnipe at best!

http://www.thisisjersey.com/2010/02/03/syvret-dont-blame-health-failings-on-me/ (http://www.thisisjersey.com/2010/02/03/syvret-dont-blame-health-failings-on-me/)

Excuse the language but what a tosser

Rico realise what he is namely a self serving egotistical ****!
Title: Re: Jersey General Hospital
Post by: ole razzy on February 03, 2010, 10:05:40 PM
Anne Pryke made herself look stupid but not being straight with the interviewer. I couldn’t feel sorry for her, despite the extremely difficult position she finds herself in, because she sounded totally disingenuous. What is it with politicians when they become ministers? It’s like they lose the ability to be a real person with honesty and openness.

It’s worth bearing in mind that right from the outset Verita were given very clear terms of reference with regards the naming of certain individuals and the apportioning of blame. Many have seen this approach as typical of SOJ cynical 'opinion management' right from the outset which obviously gives more power to the conspiracy and cover up theorists. 

Several members of this forum know that I have a closeness to this particular issue and that it makes it that much harder for me to comment but I will say this; if a f*ck up like that happened in a private hospital and an independent inquiry made similar recommendations then more than a few people would be out of a job. Except this is Jersey and in particular a hugely important government department. So my guess is that by this time next week it’s all just yesterday’s news. Lessons learnt????

I was once told that following other very serious allegations levelled against a hospital worker that when questioned a senior minister response was to make plain that regardless of whether the allegations were true or not it was important that the public kept confidence with the hospital as it is the only one we have. That struck me as understandable but if one follows that through to its logical conclusion then its tantamount to a tacit political acceptance that shit happens and so long as the vast majority of the public are either apathetic or just unaware of the facts then everything’s ok. 

I think that’s pretty rotten.
Title: Re: Jersey General Hospital
Post by: Durendal on February 03, 2010, 10:35:45 PM
Heads should fall but retirements and asylum should have helped with that aspect to keep to a minimum

Nuff said!
Title: Re: Jersey General Hospital
Post by: Dylan on February 03, 2010, 11:16:11 PM
"Several members of this forum know that I have a closeness to this particular issue and that it makes it that much harder for me to comment but I will say this; if a f*ck up like that happened in a private hospital and an independent inquiry made similar recommendations then more than a few people would be out of a job."

This cos you hang out undercover with the dudes outside on the park benches??
Title: Re: Jersey General Hospital
Post by: Dylan on February 03, 2010, 11:56:27 PM
A Sample of his work:
       Re: Senator Syvret's Blog, does he really know the truth?
« Reply #35 on: Yesterday at 10:32:48 PM »   
________________________________________
“Durendal”

Hi Nick – how’s it going?

You always were pretty poor at grasping and retaining facts.

Attempted to steal any Nazi war memorabilia from a pensioner’s house lately?

So – Comrade, Commissar Le Cornu – how do you think the glorious revolution is going?

How is Auschwitz looking these days? Isn’t that where you like to take your holidays?

In the break-up of my previous relationship – which you are plainly familiar with - we had one argument, right at the end.  No honorary police were involved - nor any form of “abuse of procedure” and not any “breach of the peace”.  But you always were a pathological liar as well as being an unemployable halfwit.

The reason the relationship ended was because you, Nick – in your obsessive, jealousness and envy of me – had sought out – and set about - breaking up my relationship.

In fact – Nick – the States Police were called once – by me - please note – following your advice to the ex to attempt to smear me. That’s it – one incident – and one incident in which it was me who called the Police as a precaution.  Nothing whatsoever arose from the incident – because there was nothing to arise. 

As I remarked to many journalist at the time – its one thing to lose your partner to a rival – but it is quite galling when the rival in question happens to be a closet-totalitarian, crypto-Leninist, Nazi obsessive lawyer – of all people.

But hey-ho! – You too were rapidly disregarded and cast aside by the narcissistic and solipsistic creature yourself – pretty rapidly, as I recollect. You see – neither of us had any money, Nick. In my case – because I was working my butt off in politics – in your case because you were an idle, unemployable loafing fantasist. 

I hadn’t let your comment through because I didn’t, frankly, see any great relevance in bringing into the debate a failed relationship from many years ago – but – you know what? – On reflection – you’re quite right – she doesn’t deserve protecting from publicity.

To deal with relevant issues - for a lawyer, I would have expected you to have at least a faint grasp of such notions as the sub judice rule.

Let me explain – public comment about allegations and particular potential criminal cases only becomes ‘out-of-bounds’ once charges are laid.

And insofar as any “unfair publicity” is concerned – given the gravity of the Jersey Child Abuse Disaster and its magnitude – there was never – ever - the remotest hope of any credible, non-conflicted jury being found in Jersey.

Indeed – it’s frequently near-impossible to assemble non-conflicted juries within this small community - even in the case of low-profile charges.

Which is why – foreseeing all such problems – I wrote to the Bailhache Brothers & Co in November last year – explaining all these issues in detail, and suggesting they should invite independent UK prosecutors and judges to deal with any cases arising. Naturally enough, a perfectly sensible suggestion which was dismissed with the predictable arrogance and stupidity.

And, you know, before you get into battles – check your facts first – always check the facts. For had you been paying the merest – the slightest – attention to events – you would be aware from comments made by me on various sites, that I am willingly confessing to corporate crimes, committed by Health & Social Services when I was the politician responsible.

Indeed – when I was  meeting with two Police officers this Friday morning just gone, amongst other, related issues, we had an initial discussion of my wish to confess corporate guilt – and to that end I am producing a written statement and will give a formal recorded interview next week.

As I’ve said publicly – on many occasions before – the States of Jersey – guilty as hell.

Meanwhile – may the glorious peoples’ revolution continue for you – and after these elections, the decent candidates like Monty will see - and curse - what a pair of losers they made the mistake of associating themselves with – and leave you and Mike Dunn to your sad, isolated, Leninist fantasies.

Ciao

Stuart.
Title: Re: Jersey General Hospital
Post by: rico sorda on February 04, 2010, 01:01:31 AM
Hi Durendal

I can take it from your same link on two threads that you haven't read the rag, but have just gone of their online piece,shame you let yourself down.I hope you have now read it

One of the major problems we here is that the ministers pay lip service to their Chief Officer.

Yesterday i felt so depressed after listening to the Health Minister Anne Pryke in the states, it was a shocking 30 minutes.

I have been fighting my corner for a long time, sometimes i think 'ignorance is bliss' it takes it toll thats for sure, i have a life but try and find the time to research and post.

Verita have brought all my worries and concerns into the open, not sure it has quite sunken in yet.

 I would like to thank Deputy Bob Hill and Senator Stuart Syvret for all their hard work in bringing questions, propositions and just pushing like mad to get the Verita terms of reference made broader your hard work has now been justified.

Durendal- How familiar are you with the work bob and stuart put in concerning verita? This is a serious question

The tragic death of Elizabeth Rourke has fully exposed everything that is wrong with our Government and Civil service.


The way senior management went about covering this up is truly shocking and leaves me depressed thinking about what has gone on,this is no different to the removal of senator syvret in 2007 for flagging up child protection. Senior management panic top civil servant sorts it no problem just like the hospital


I will be truthful here  i always like to be.

The last couple of days have really affected me because it made my worse fears concerning the whole abuse scandal and graham power suspension become reality. Now before Durendal,Sparty and Dundee  try and rip me let me totally assure you im a very grounded person who has had many life experiences and very capable of making sound judgements. I just cant understand why some posters on here cannot see beyond their hatred of stuart syvret.

What is it that enables posters to come on here  just say nothing apart from saying stuart is this and that and not even commenting on the issues, displaying a total lack of a social conscience this really does get me down, what do i need to be able too log on and not care about anything and just say syvret w*nker, is it a big house with a big wage, totally secure all fine here you plebs what makes people loose their social conscience.

Sean Power and Sarah Ferguson

I would like to hear what you thought of anne prykes statement in the states.

I would also like your opinion on the Verita report.



Senator Ferguson i know you supported senator Syvret's excellent proposition on an independent enquiry,where you happy with the verita report.


rs
Title: Re: Jersey General Hospital
Post by: Malachi on February 04, 2010, 01:32:11 AM
Some people are never going take Stuart seriously and that is their problem, but Stuart doesn't do his cause any favours by writing stuff like this:
Quote
given the gravity of the Jersey Child Abuse Disaster and its magnitude – there was never – ever - the remotest hope of any credible, non-conflicted jury being found in Jersey

This just isn't true. Contrary to what some people might think, there are loads of people on the island for whom child abuse etc. is a non-issue in the sense that they are too busy with other things in their lives or don't have an opinion because they haven't seen/read any of the evidence/paperwork and see it is something for the alleged victims and the alleged abusers (and implicated govt. people) to sort out themselves. I could sit on a jury (not that I'd want to).

For better or worse (and contrary to what you might think given the most popular/active threads on PJ), most islanders aren't that interested in the "Jersey Child Abuse Disaster" or whatever happened at the hospital. It's either a case of apathy rules or people being busy looking after their own interests/trying to survive.
Title: Re: Jersey General Hospital
Post by: ageofaquarius on February 04, 2010, 02:26:01 AM
Now there's going to be an inquiry into the inquiry before the previous inquiry.  I note that John Day was never called to court to give evidence, is that because management would rather he didn't?  It's no great secret that he was at his private rooms at the time.  Yes the whole thing stinks.

The civil service think tank is 'do you job, don't use initiative or ask straightforward questions, and for god sake don't rock the boat' and you will do well here.  There is a certain mindset which would be laughed at in the real world.  I sometimes feel like a character in 1984!
Title: Re: Jersey General Hospital
Post by: rico sorda on February 04, 2010, 01:10:29 PM
Hi Sean

I see you have logged on and left no comment. This is a very important issue and a quite shocking report. It would be really helpful if we could have a comment from a member of the house. The budget gig is over this is the serious stuff. cheers

Dundee

' bloody idiot' ?

Acting CE of Health, should he stay or should he go?

rs
Title: Re: Jersey General Hospital
Post by: ole razzy on February 04, 2010, 03:47:10 PM
The civil service think tank is 'do you job, don't use initiative or ask straightforward questions, and for god sake don't rock the boat' and you will do well here.  There is a certain mindset which would be laughed at in the real world.  I sometimes feel like a character in 1984!

My experience mirrors yours AOA which is why I have to laugh when I read some of Syvret's stuff about 'collective groupthink' within the senior management teams of the big states departments.

Picture this scenario;

Old school bully boy bastard (not very bright) gets elected to the states and takes up a ministerial position. The senior management team then ingratiate themselves with an inordinate amount of professional brown nosing until they get the measure of the politico’s academic ability. This usually takes about 5 minutes. They then spend the rest of the elected official’s time in office doing as little as possible to rock the boat or think outside the box and urging said minister to use their undoubted strong arm tactics to squash dissent through the ranks and from external commentators. Then the village media who have grown familiar with a lazy form of cut and paste journalism print what’s offered without question and the population go about their busy and hardworking lives none the wiser.  

There are of course exceptions to the rule but until such time as we have a Chief Minister who is confident enough to tackle this type of negative organisational culture the wheels stay on and the train it just keeps on a chuggin.
Title: Re: Jersey General Hospital
Post by: Dylan on February 04, 2010, 03:50:49 PM
Like I said before dude, no brakes on de gravy train!
Title: Re: Jersey General Hospital
Post by: ole razzy on February 04, 2010, 04:00:17 PM
So we have a clash.

The Richard Joualt Band just brought out a new video dedicated to Anne Pryke.

Check out the powerpoint graphics. Just stunning. Must have put together by the head of IT.

http://www.youtube.com/watch?v=jPmFZlsV8Iw
Title: Re: Jersey General Hospital
Post by: Durendal on February 04, 2010, 04:23:08 PM
A Sample of his work:
       Re: Senator Syvret's Blog, does he really know the truth?
« Reply #35 on: Yesterday at 10:32:48 PM »   
________________________________________
“Durendal”

Hi Nick – how’s it going?

You always were pretty poor at grasping and retaining facts.

Attempted to steal any Nazi war memorabilia from a pensioner’s house lately?

So – Comrade, Commissar Le Cornu – how do you think the glorious revolution is going?

How is Auschwitz looking these days? Isn’t that where you like to take your holidays?

In the break-up of my previous relationship – which you are plainly familiar with - we had one argument, right at the end.  No honorary police were involved - nor any form of “abuse of procedure” and not any “breach of the peace”.  But you always were a pathological liar as well as being an unemployable halfwit.

The reason the relationship ended was because you, Nick – in your obsessive, jealousness and envy of me – had sought out – and set about - breaking up my relationship.

In fact – Nick – the States Police were called once – by me - please note – following your advice to the ex to attempt to smear me. That’s it – one incident – and one incident in which it was me who called the Police as a precaution.  Nothing whatsoever arose from the incident – because there was nothing to arise.  

As I remarked to many journalist at the time – its one thing to lose your partner to a rival – but it is quite galling when the rival in question happens to be a closet-totalitarian, crypto-Leninist, Nazi obsessive lawyer – of all people.

But hey-ho! – You too were rapidly disregarded and cast aside by the narcissistic and solipsistic creature yourself – pretty rapidly, as I recollect. You see – neither of us had any money, Nick. In my case – because I was working my butt off in politics – in your case because you were an idle, unemployable loafing fantasist.  

I hadn’t let your comment through because I didn’t, frankly, see any great relevance in bringing into the debate a failed relationship from many years ago – but – you know what? – On reflection – you’re quite right – she doesn’t deserve protecting from publicity.

To deal with relevant issues - for a lawyer, I would have expected you to have at least a faint grasp of such notions as the sub judice rule.

Let me explain – public comment about allegations and particular potential criminal cases only becomes ‘out-of-bounds’ once charges are laid.

And insofar as any “unfair publicity” is concerned – given the gravity of the Jersey Child Abuse Disaster and its magnitude – there was never – ever - the remotest hope of any credible, non-conflicted jury being found in Jersey.

Indeed – it’s frequently near-impossible to assemble non-conflicted juries within this small community - even in the case of low-profile charges.

Which is why – foreseeing all such problems – I wrote to the Bailhache Brothers & Co in November last year – explaining all these issues in detail, and suggesting they should invite independent UK prosecutors and judges to deal with any cases arising. Naturally enough, a perfectly sensible suggestion which was dismissed with the predictable arrogance and stupidity.

And, you know, before you get into battles – check your facts first – always check the facts. For had you been paying the merest – the slightest – attention to events – you would be aware from comments made by me on various sites, that I am willingly confessing to corporate crimes, committed by Health & Social Services when I was the politician responsible.

Indeed – when I was  meeting with two Police officers this Friday morning just gone, amongst other, related issues, we had an initial discussion of my wish to confess corporate guilt – and to that end I am producing a written statement and will give a formal recorded interview next week.

As I’ve said publicly – on many occasions before – the States of Jersey – guilty as hell.

Meanwhile – may the glorious peoples’ revolution continue for you – and after these elections, the decent candidates like Monty will see - and curse - what a pair of losers they made the mistake of associating themselves with – and leave you and Mike Dunn to your sad, isolated, Leninist fantasies.

Ciao

Stuart.


This just shows what a complete plonker he is as I am not Nick.

If anyone is aginst him he accuses them of being one of his Bete Noires so as to lessen their arguments.

In his case a lttle knowledge (and I mean on the fundamental particle scale) is dangerous.
Title: Re: Jersey General Hospital
Post by: ole razzy on February 04, 2010, 05:00:36 PM
Its all too funny for words. SSS accuses Durendal of being Nick Le Cornu. Rico's mates with Durendal. Durendal is not Nick Le Cornu. Dylan keeps SSS's post for posterity. And does so at the same time as writing a faux Christmas speech for SSS, which he acknowledges as being mighty fine but never actually delivers it as they in the big house wont let him. Sheesh! Tiny little Island isnt it? LOL!
Title: Re: Jersey General Hospital
Post by: Dylan on February 04, 2010, 11:08:48 PM
Gotta see reality for what it is bro!
Title: Re: Jersey General Hospital
Post by: rogueelement on February 05, 2010, 12:24:46 AM
Dylan please enlighten us about reality,does it help if you wear an afro wig and talk hip?
I think you should button it , I,m hardly surprised that bloggers like boooty bay get fed up with your asinine comments.
Title: Re: Jersey General Hospital
Post by: Dylan on February 05, 2010, 03:11:13 AM
If my comments are asinine, yours are ass in one!  :o
Title: Re: Jersey General Hospital
Post by: Dylan on February 05, 2010, 01:12:30 PM
Dylan please enlighten us about reality,does it help if you wear an afro wig and talk hip?
I think you should button it , I,m hardly surprised that bloggers like boooty bay get fed up with your asinine comments.

Spartan,
Regarding the Afro wig. This, if you are familiar with the workings of your mate, Adrian's illustrious site, is an optional avatar which is near the top of the personal profile set up. Thus it is an identity which by its availability, is invited, approved and even recommended by the owners of the site. Perhaps you should check your facts first.
If on the other hand you wish to air identity prejuduces, then you run the risk of making yourself look a damned site more stupid than that which I am comfortable with. BTW - no references required as you will find this on this site.

Telling me to "button it" and referring to "Boooty bay" whom I frequently confer with is somewhat typical of your Napoleon syndrome.

Worse still, is your own Avatar! (no reference required as it has been seen about half a million times as people scan the site looking for comments to avoid). You have chosen your own site identity and specifically your own avatar. My advice to you is that this was either poorly researched, which, it appears most of your comments are "shot from the lip", or deliberately your own social investment.

The true Spartan was if fact in character consistent with the majority of the subject matter of major postings on this site.

http://forums.introversion.co.uk/introversion/viewtopic.php?p=18604

Kindly refer and maybe when you realise your folly, you may wish to "button it" yourself. In the meantime, check into our glorious Hospital.

This may focus your mind : http://www.youtube.com/watch?v=-SkHuIvq7es

Mods, please note that these facts are available in my references .

For the avoidance of doubt:- http://wiki.answers.com/Q/Were_the_Spartan_warriors_gay

Title: Re: Jersey General Hospital
Post by: ole razzy on February 05, 2010, 10:07:25 PM
Ah yes - back to good old days. I like it lads. I like it a lot.

Now back on topic for a moment did anybody read the JEP's 'in depth' coverage of the verita report last night?

I spotted something that made me spit the claret all over the Tracy Emin laserprint.

Now before I offer you the quote I'd like you to remember that Elizabeth Rourke died, in the technical sense, due to a massive loss of blood caused by the use of an innapropriate medical instument in surgery whilst under the care of a Locum doctor.

JEP page 10 Thursday 4th February 2010 (column 4)

Richard Joualt, Health's acting cheif executive said this week that, 'the use of locums was the necessary lifeblood of the hospital'.

Now where was Louise Journeaux (press officer seconded from the SOJ Police) when it was agreed that this sort of statement should go out into the public domain?

Honestly sometimes the way these people behave just makes me cringe.





 
Title: Re: Jersey General Hospital
Post by: Dundee on February 05, 2010, 11:10:48 PM
I sort of cringe now with the word locum with the national news of the German doctor Daniel Ubani:
 http://www.guardian.co.uk/society/2010/jan/11/new-rules-foreign-doctors

Of course this is also poor management in employing and overseeing such second rate staff.
Title: Re: Jersey General Hospital
Post by: Fritz on February 06, 2010, 02:19:36 AM
Like most firms nowadays, "Jersey PLC", employs managers from ,"Management", agencies.
Most of these folk are highly qualified in ,"Management", but have not the slightest idea of what that they are employed to , "Manage".

They could get a degree by ,"Managing", to get a degree in, "Popular music of the eighties", and therefore prove their ability to retain knowledge(?) of some sort.

They are then employed to ,"Manage", whatever department has a vacancy for a ,"Manager".

Whatever happened to the system where folk worked their way up through various degrees of management by having work experience?
Title: Re: Jersey General Hospital
Post by: boatyboy on February 06, 2010, 05:57:51 PM
A FEAR of speaking out, a culture of cover-ups and a lack of common purpose between doctors and civil servants have all been alleged in the damning Health report.

Further claims that too many patients are being referred to the Hospital because GPs make money from referrals, and that consultants have an ‘unhelpful rivalry’ over doing private work have also been made.

During their investigations into the death of former staff nurse Elizabeth Rourke, independent consultants Verita found that many of the people they interviewed made serious allegations about how the Hospital and Health Department were being run.

Verita felt that some of the claims were so serious that they compiled a secondary report highlighting some of the most serious allegations and recommended that further investigations be launched.

http://www.thisisjersey.com/2010/02/02/a-culture-of-cover-up-and-rivalry/

SO.

Lets have a look at the above statement calmly.

While yes it is from the JEP it is fairly straightforward and looks to be a true reflection as to what goes on or went on at the Hospital.

The first thing that strikes me is the line.

people they interviewed made serious allegations about how the Hospital and Health Department were being run.

This would suggest health professionals making allegations, not the man in the street.
So what else has happened that is off the radar both medically and financially unknown to the public and politicians? We now know the management wasted half a million on unneeded flue vaccine.

What is also worrying is that there is a lack of common purpose. I would suggest that the front line Doctors nurses try to do an excellent job,utilising their years of dedicated training and specialist skills.
 

This leaves the lack of common purpose in the laps of civil servants. Well if the common purpose is to care for the needs of the sick and vulnerable what does the lack of common purpose mean,  the opposite? As good and well meaning a person as  Anne Pryke is, she needs to resign and leave a place for  someone with enough presence and fortitude to restructure the administration at the General, the Verita report is too  damming.

It does seem strange that short comings, lack of communication etc etc, by executive management was partly to blame for an unnecessary  sad death. Top managers ( non removed ) all work on, happily being paid  (I read)  around £400 a day.

Lets all remember this is not about fixing roads or lighting the streets this is literally a life and death corporation that we should be proud of and feel one hundred per cent confident in.

English MPs and a peer are having criminal charges instigated for fiddling their expenses with maximum sentence being seven years jail.

Is it not about time we dispensed with the Jersey Way, and got real?

Boatyboy.
Title: Re: Jersey General Hospital
Post by: Chevalier Blanc on February 06, 2010, 07:17:10 PM
Workers in some States Dept are scared to speak out because if they make a complaint the senior manager always sides with the lower manager that the complaint has been made against. This leaves the worker having to be bullied by the manager so you get to the point when everybody is to scared to complain for fear of reprisals. I have seen this with my own eyes, not to me i may add was i to scared to complain because i did on many occasions but if you are in the right fear nothing.
Title: Re: Jersey General Hospital
Post by: Ruddler on February 06, 2010, 07:32:30 PM
I find this a very difficult subject to come to an opinion on because of the tragic nature of what happened.  My experience of the JGH is that, whilst getting good treatment there, it is essentially run for the benefit of the staff and not the patients, unless you are giving blood when they are more than happy to see you at a time to suit you and not them.  

What does disturb me is the so-called blame culture there with, according to Verita, individual clinicians being blamed for shortcomings which were more system based than the "fault" of any one person.  And, you know, the old saying is that a fish rots from the head down and one has to look right to the top both managerially as well as politically for some clues as to how some of the things alleged have come about.  I have 2 relatives who work in HSS - they have always said that both the Committee President (later the former Minister) and the recently departed Chief Exec pretty much detested each other from day one, each thinking themselves much cleverer than the other.  Really, it didn't help and, as you say, the lack of common purpose exposed by Verita is unsurprising when set against that background.  The Consultants as a group also need to be sat down and come to an agreement on their "common purpose" as Verita imply that certainly in the department concerned all was not well with jockeying for the limited pool of private patients available.  And all the civil servant and management direction in the world can't change that, it has to be the clinicians who implement those reforms.

FWIW, I agree with you about AP, a decent woman but the task requires both a forceful enough Chief Exec who should be left to get on with the job and a Minister sensible enough to set a clear policy direction without constantly interfering or carping from within and without. Maybe she is that person and I must say I wouldn't relish yet another Health Minister.  And we have to decide what kind of health system we are prepared to settle for and more importantly what price we are prepared to pay in terms of increased taxes to get it.
Title: Re: Jersey General Hospital
Post by: ageofaquarius on February 07, 2010, 05:17:42 AM
Ruddle.  As a worker as H&SS I agree with you 100%. I do think the clinicians should have more of a say, they don't, its all down to Little, who is only looking at a spread sheet. JGH depends on locums because of the high cost of living over here.  If a decent registrar from Manchester for e.g moves sticks, sells his house for £250K, moves his family over, he has to buy a house for £600K, work nights and has one junior doctor to help his shift, plus on call,the salary is not worth it. There is one consultant who has been without a reg for 3 years, just him and one junior doctor, its not good enough. Yet I see so much wastage on managerial level.  JGH loves to keep up appearances. 
Title: Re: Jersey General Hospital
Post by: Dylan on February 07, 2010, 09:49:36 PM
Spartacus has left the house.
Title: Re: Jersey General Hospital
Post by: Chevalier Blanc on February 08, 2010, 07:06:57 PM
I know Little from when he was in the Time and Motion Department which is no longer there . He then moved to Employees department doing the wage negotiation and he will do anything say anything so that you thought he was a nice person, then you find out the hard way that he is not nice at all. I know his father which his son would not recognise in front of people because his father was only a labour and tells you everything about Little.
Title: Re: Jersey General Hospital
Post by: boatyboy on February 20, 2011, 05:46:58 PM

I came across this, and it is very relevant today, regarding the way money is being spent on staffing at the present time. Well worth a read especially for the anti-Syvret people.

January 2009.

Health & Social Services is under great pressure and scrutiny from other States members, civil servants and the tax paying public in respect of our costs. Such pressure will only ever increase. We may be satisfied that we are delivering a service that is value for money, but others are not. We must find new ways of transparently demonstrating that we are an efficient organisation. I know we are efficient – but many people will require that fact to be proven to them time and again.

How can we do this? Should we pro-actively seek the regular involvement of the Controller and Auditor General?

As the tax burden falls more and more upon the less well off, we have to strike a bargain with the public. As our need for funding grows we must be in a position to prove just what the public are buying for that additional cost.

I get the impression that the NHS is constantly mired in controversy about where money is spent, how it is spent, whether it is being used wisely – and whether the expenditure produces value for money. I want health care systems in Jersey to transcend such arguments through evidence of appropriateness of spend and evidence of effectiveness and efficiency.

Stuart Syvret.

http://stuartsyvret.blogspot.com/2009/01/health-social-care-in-jersey.html
Title: Re: Jersey General Hospital
Post by: boatyboy on July 18, 2012, 01:55:37 AM
There you go it was a lovely dinner, and I was hungry, but guess what this appeared.

It will not spoil my day why should it spoil yours don't let it.

Just a couple of facts, A new hospital is a big project and will give planning, the fire service, TTS ( roads management ) hundreds and hundreds of meetings.

Of Course we have a new Chief executive, another very highly paid new gentleman executive, no down grade, or sacking of managers that worked under the infamous guitar playing Mike Pollard. Are any of the present management resigning the article probably would have said.

So why would  Minister Anne Pryke and bosses get more managers when nurses and front line staff are in urgent need ?

Maybe a States member might like to ask how full the reserved ward for private patients is on a weekly basis. Why in the UK referral to completed operation or completion of treatment is eighteen weeks. In Jersey it takes months just to see a consultant.

Anne Pryke and those that she answers to, sorry I meant they are supposed to answer to her, need to get the General Hospital working smoothly with care of the non cheque book patient able to get an operation within a couple  of months not a year.

This lady has the perfect attitude for the new job, after visiting the hospital briefly and then talks utter rubbish, well make your own mind.

BBC reporting not investigating as per usual.

The building of a new hospital in Jersey is "inevitable", according to a new health service boss.

Helen O'Shea is moving from Plymouth to Jersey to take charge of the island's general hospital.

Mrs O'Shea said the current hospital was "almost at full capacity" and a new hospital would be one way to deal with the situation.

She added that working on such a project was "one of the attractions" of coming to the island.

She said: "Given the Jersey situation, that is going to be inevitable. We're going to need extra capacity in the future.

"I've only seen the hospital briefly, but certainly areas are almost at full capacity.

"We either have to have quite quick changes to reduce the use of capacity, or we have to talk about how we house those facilities in the future."

Mrs O'Shea is currently the interim chief executive of Plymouth Hospitals NHS Trust.

She is expected to take up her new position in Jersey later in the year.
   
http://www.bbc.co.uk/news/world-Europe-jersey-18869146

Title: Re: Jersey General Hospital
Post by: danrok on July 18, 2012, 03:05:43 AM
Spending non-existent cash by the truck load before she's even got here?

She'll fit right in with all the other wasters.  ;)
Title: Re: Jersey General Hospital
Post by: boatyboy on August 04, 2012, 04:04:17 AM

Sorry people,

As long as islanders keep dieing from basic non - life threatning operations, what do they expect at the General Hospital, a new hospital to screw up.  They cannot get the established hospital running smoothly. Jersey life enhancing as long as you stay healthy ?

JEP

They say that his death, and the pain that he suffered for the seven days leading up to it, were caused by an error by the surgeon that should never have happened.

A three-day inquest held in April heard that in a hernia operation a week before Mr Vasse’s death, Mr Pal failed to check his bowels for damage or gangrene – an omission criticised by an expert from Warwick Medical School who gave evidence by videolink.

http://www.thisisjersey.com/news/2012/08/03/health-reject-claim-over-death-of-man-after-surgery/
Title: Re: Jersey General Hospital
Post by: Calimachon on August 04, 2012, 08:04:20 PM
Sorry people,

As long as islanders keep dieing from basic non - life threatning operations, what do they expect at the General Hospital, a new hospital to screw up.  They cannot get the established hospital running smoothly. Jersey life enhancing as long as you stay healthy ?

JEP

They say that his death, and the pain that he suffered for the seven days leading up to it, were caused by an error by the surgeon that should never have happened.

A three-day inquest held in April heard that in a hernia operation a week before Mr Vasse’s death, Mr Pal failed to check his bowels for damage or gangrene – an omission criticised by an expert from Warwick Medical School who gave evidence by videolink.

http://www.thisisjersey.com/news/2012/08/03/health-reject-claim-over-death-of-man-after-surgery/

No amount of new buildings will make up for inneffiency.  If what you say about Mr Vasse's case is true then that is diabolical.  I always thought that surgeons work with partners who checked their every procedure to ensure mistakes such as this were not made.  After all who checks the checkers?  Checkers should be installed at every important procedure.

Cali 
Title: Re: Jersey General Hospital
Post by: boatyboy on October 09, 2012, 12:22:27 AM

Minister Anne Pryke and :-

Jersey’s Hospital Administration open and transparent or protecting its own using secrecy, you decide ?

As the health service and those who work within it are linked to safety and the health of all islanders, it essential that the public are free to view the outcome of hearings which prove that accountability is a thriving and open part of the structure. Let us wait and watch.

Allegations

We receive initial complaints and referrals from a wide variety of sources, and with different amounts of information. We use a screening process at the point of referral to make sure we gather the information needed to form an allegation. Most allegations of impaired fitness to practise, and all allegations of fraudulent or incorrect entry are referred, to the Investigating Committee.

Panels of the Investigating Committee work only from the paperwork we have collected about the case; they do not meet any of the people concerned or hear their evidence in person. The panel’s job is to decide whether there is a ‘case to answer’.

15 Oct

http://www.nmc-uk.org/Hearings/Hearings-and-outcomes/Oct-2012/


bb
Title: Re: Jersey General Hospital
Post by: boatyboy on October 23, 2012, 12:18:16 AM
Lessons have NOT been learnt - just chuck more money at the problem - the Jersey Way !

During their investigations into the death of former staff nurse Elizabeth Rourke, independent consultants Verita found that many of the people they interviewed made serious allegations about how the Hospital and Health Department were being run.

http://www.thisisjersey.com/2010/02/02/a-culture-of-cover-up-and-rivalry/

Verita felt that some of the claims were so serious that they compiled a secondary report highlighting some of the most serious allegations and recommended that further investigations be launched.

And

Stuart Syvret

We must find new ways of transparently demonstrating that we are an efficient organisation. I know we are efficient – but many people will require that fact to be proven to them time and again.

http://stuartsyvret.blogspot.com/2009/01/health-social-care-in-jersey.html

---------------

In these times of world economic meltdown you would think, lets be more efficient, lets lead by example, we cannot tax the islanders more without showing restraint ourselves.

So why so many new management positions at the Hospital ? Yet the shortage of medical staff including nurses continues ? Which managers were paid off after the damming Verita report for being lacking ?

Why spend, spend and spend more when the housekeeping of the present Minister Anne Pryke and her bunch of managers is well below par, especially at the economic moment. They forget Jersey is spending more than its getting in and its pretty bloody obvious even to other States  members.

Scrutiny Says,

CONCERNS have been raised about plans to radically reform Jersey’s health service during the next ten years because they are based on outdated population figures.

http://www.thisisjersey.com/news/2012/09/15/scrutiny-health-reform-plans-based-on-outdated-figures/

So how can that be scrutiny ? Health has just spent £350,000 on a feasibility study, and the ink is literally still warm ( almost complete 1st October ) and next year will spend another £2,000,000 on a final study.

You could not make this up.

Let us hope States members show backbone and find out how efficient the hospital operates compared to similar size hospitals in the UK before they vote towards throwing hundreds of millions of pounds at the same old, same old and your army of administration staff and clip board managers.

JEP

http://www.thisisjersey.com/news/2012/10/22/key-vote-on-the-future-of-health/

This will be bordering on criminal negligence of public money if the money is thrown at Health with the sketchy information available and poor management and inefficiency being handsomely rewarded.

Boatyboy
Title: Re: Jersey General Hospital
Post by: boatyboy on November 02, 2012, 10:36:43 PM
JEP

A JERSEY lawyer died after developing a blood clot in his leg which had been put into a plaster cast to treat a broken ankle, an inquest heard yesterday.

Hospital procedures have now been changed after early warning signs of blood clot problem – chest pains and shortness of breath – were missed by a doctor at the fracture clinic, who mistook the symptoms as crutch-induced ailments, it emerged.

Advocate Richard John Findlay Pirie (53) died on 13 January 2012 – more than two weeks after fracturing his ankle while playing golf with his son. Just days earlier he had been promoted to Counsel at Collas Crill, the most senior position a lawyer can hold at the firm.

http://www.thisisjersey.com/news/2012/11/02/death-of-advocate-warning-signs-were-missed/

NO Comments allowed is in force yet again ! comment here if you like.

One does have to a wonder if Mr Pirie had been treated in a new £430 miliion pound building, if this would have made any difference to his treatment ? I knew Richard, may I express sympathy to his family on their loss.

BB
Title: Re: Jersey General Hospital
Post by: Calimachon on November 02, 2012, 11:08:00 PM

One does have to a wonder if Mr Pirie had been treated in a new £430 miliion pound building, if this would have made any difference to his treatment ? I knew Richard, may I express sympathy to his family on their loss.

BB

Sadly misdiagnosis have happened before and no doubt they will happen again.  One can only hope that certain procedures are put forward and taken notice of to avoid things like this happening again.

I heard of a sad case this week about lovely mother who lost her life because no one diagnosed a blood clot in her leg.  Three caljyoung children without a Mum now.  She could never get to the root of her problems and asked on many occasions for tests to find out what was wrong with her.  They found out soon enough in the Path Lab.  A bit late then!

Our health system reminds me of the Greek Orthodox Church and its various departments and saints.  You have a saint each for eyes, ears, legs and other parts of the body and you pray at the relevant church depending upon which body part is proving a  nuisance for God to heal.  I sometimes wonder if our hospital departments talk to one another and if the consultants consult with one another and work as a team on some occasions.  Thankfully I have received exemplary treatment so far for which I am grateful.  Maybe I have been the lucky one but I do have first hand knowledge of some who have had unfortunate experiences, within my family as well. 

Cali
Title: Re: Jersey General Hospital
Post by: boatyboy on January 18, 2013, 06:47:31 AM
If you wonder why the Hospital waiting lists are so long the answer is below,

The Health Minister could not answer the questions put to her, her assistant came to the rescue, maybe she new what was coming !

With a script probably written for the good lady, Minister Pryke appears on the CTV site on the 17th January 2013. This is what  “she” says regarding The hospital tragic ( if you are ill or in pain or may even be dying ) very long public waiting lists.

CTV Website.

Deputy Pryke says waiting times depend on a range of factors including increases in referrals; unforeseen breaks in service provision; staff sickness and absence.

http://www.channelonline.tv/channelonline%5Fjerseynews/DisplayArticle.asp?ID=503358

The fact is that the hospital management put to work the consultants for 70% of the working week and unlike the UK they contribute nothing for the rooms they use.

Then – Sarah Ferguson, Le Herrisier. Hilton and Higgins went into attack mode

Does the Assistant Minister mean that consultants spend 100 per cent of their working time, which on a 5-day 8-hour week of 1,820 hours a year, is that the amount of time they spend on public work, in which case how on earth do they have time to spend on private patients?

Hansard 23/10/2012

2.9 Deputy R.G. Le Hérissier of the Minister for Health and Social Services regarding consultants renting out Health and Social Services facilities for private work:

What revenues, if any, were received in the last financial year from consultants renting out Health and Social Service facilities for private work and how do the rules governing such work about the use and rental of publicly owned facilities differ from those in the United Kingdom?

The Deputy of Trinity:

My Assistant Minister will answer this.

Connétable J.M. Refault of St. Peter (The Assistant Minister for Health and Social Services - rapporteur):

I can confirm that Health and Social Services does not charge rental for any of its facilities and services to private consultants, so therefore the answer to the question is none.  The indirect answer to the question is we charge the patient.  The private patient either pays directly or the charges are transferred as a cost recovery exercise to the health insurance provider.

2.9.1 Deputy R.G. Le Hérissier:

Could the Assistant Minister also answer the other part of the question?  Are the conditions a replica of those found in the National Health Service?
The Connétable of St. Peter:
I apologise to the Deputy.  I did not pick up the second part of his question.  No, they are not because in the U.K. it is quite different as there are a number of private hospitals in the U.K. which deliver the private patient care in the United Kingdom.  We do not have that facility here in Jersey.

2.9.2 Deputy R.G. Le Hérissier:

Is the Assistant Minister not aware that while in a narrow sense there may be profits made from this, it is obviously a source of great concern to people who are on very, very long H.S.S (Health and Social Services) waiting lists and after an interview with a consultant, they are told that they can be put on a list which will, at a price, get them the same operation within one or 2 weeks.  How are consultants able to do this in the current system?

The Connétable of St. Peter:

There are 2 types of consultants.  There are the ones which are based locally and the ones that come in from the United Kingdom to offer services to our population.  With regard to the waiting list, they are often reduced by visiting consultants, as part of the contract of services to operate within the General Hospital is that they must also treat people on the public list and it is on the balance of about 30 per cent to 70 per cent are required to do that as their contribution to the public list, which does help to reduce the waiting list times.  On Island consultants that are offering speedier services to private patients, that is done in their down time and the down time of the systems that they use within the hospital.

2.9.3 Senator S.C. Ferguson:

This is all very interesting but are the terms and conditions of the consultants being reviewed to ensure that they do comply and provide the percentage of public service that they should?  Would the Assistant Minister like to confirm what percentage of their time is meant to be spent on public work and would he also confirm that the terms and conditions are going to be reviewed because there are anecdotal stories of consultants spending all their time on private work and spending very little time on public.

The Connétable of St. Peter:

This is rather complex but I thank Senator Ferguson for raising it.  Certainly, there is a service level for consultants and consultant surgeons that are employed in Jersey to provide a minimum level of services obviously to the public list.  There are no restrictions that I am aware of for them for the amount of work they do on their private list.  That is a matter between them and their patient.  There was another part of the question.  Could the Senator please remind me?

Senator S.C. Ferguson:

Are the terms and conditions going to be checked because I do not think the Assistant Minister said what percentage of their time consultants are meant to spend on public work?
[10:45]

The Connétable of St. Peter:

I think I have answered that final part of the repeated question.  The consultants are required to spend all their time while they are employed in the General Hospital on the public work.  Private work they do is outside of their contract with the Health and Social Services.  With regard to the governance of consultants, that is work which is constantly being reviewed by the General Manager at the hospital and Health and Social Services and as part of the reviews and ongoing work, to look at the relationships between primary care and the consultants, whether there are ways in the future that in working together we can streamline the work to increase the workloads of the consultant surgeons to get them into operating theatres for longer times rather than seeing patients as pre-assessments which could be delivered from another source.

2.9.4 Senator S.C. Ferguson:

Does the Assistant Minister mean that consultants spend 100 per cent of their working time, which on a 5-day 8-hour week of 1,820 hours a year, is that the amount of time they spend on public work, in which case how on earth do they have time to spend on private patients?

The Connétable of St. Peter:

There is an understanding generally that it is a loose figure and the split is something between 30 per cent and 70 per cent.  In other words, 70 per cent of their time must be totally dedicated to the public list and 30 per cent to the private list, if those are the figures the Senator is looking for.

2.9.5 Deputy J.A. Hilton of St. Helier:

The Constable referred to a loose understanding.  I think that is quite alarming.  Coupled with the fact that the theatres are operating at way over a level that would be accepted in the U.K. it seems to me that terms and conditions that the consultants are employed under at the moment should be looked at again.  It cannot be acceptable in this Island for a private patient to be able to get a hip replacement within 4 weeks and a public patient to have to wait 10 months.  It is just not acceptable.

The Deputy Bailiff:

Do you have a question?

Deputy J.A. Hilton:

The question is: does the Constable believe that it is time to look at the terms and conditions that currently the consultants are employed by?

The Connétable of St. Peter:

As I said in my answer to the previous question: that is ongoing work which is being done by the General Manager at the hospital all the time, constantly reviewing all the terms and conditions and arrangements for consultant surgeons.  In answering the Deputy’s question, if we were to exclude, for example, all private work from the hospital, then those people who would have gone privately would only go on to the public list and increase the length of that list.

Deputy J.A. Hilton:

I suggest that those private patients would probably go to the U.K. for their treatment which would allow the public patients a better chance of being treated a little more quickly.

2.9.6 Deputy M.R. Higgins:

Part of my question has already been answered but could the Assistant Minister tell us if the operating theatre is used on a Friday in the General Hospital or is it just used for private patients on a Friday?
The Connétable of St. Peter:
I have no knowledge that the operating theatres are exclusively used on Fridays for private patients.  I have no evidence for that.  However, I will ask the question on behalf of the Deputy of the General Manager at the hospital and if that is right, I will come back and confirm that to him.

2.9.7 Deputy R.G. Le Hérissier:

In the light of comments by Senator Ferguson, Deputies Hilton and Higgins, would the Assistant Minister not acknowledge that we are making, myself included, a fuss for example about bus drivers’ overtime and yet here we have a situation where there appear to be informal conditions where large amounts of public time are being used for private work?  We are renting out facilities, public facilities, cost free to people to use for their own private business.  Is he satisfied that this is the way to go forward?

The Connétable of St. Peter:

No, I am certainly not satisfied that we provide services cost free because we do not.  We apply a cost recovery but we do not apply a profit on top of that.

http://www.statesassembly.gov.je/Pages/Hansard.aspx?docid=34b14a998c6d2dc77479e445f4ac1fd4_StatesAssembly

The fact is that the hospital management say that consultants work for 70% of the working week, This does not happen in the UK. Consultants do private work on their days off or holidays, also unlike the UK they contribute nothing for the rooms they use. In the UK consultants ( on contract ) have to pay 70% of the fee for private work straight to their employer the NHS who carry out the invoicing. On a different issue the consultants also pay a tax rate of 40%.

The health system in Jersey is broken and abused, it is certainly not working in the public interest, and needs a complete and radical over haul. Talk of a new hospital is premature - as is throwing in more taxpayers money to do what exactly ? Further the interests of a trojan private business using sparkling new premises paid for by the public while the public wait outside for many months for treatment some in dire pain, exactly as they are at the moment.

Boatyboy.
Title: Re: Jersey General Hospital
Post by: shortport on January 18, 2013, 06:23:01 PM
Thanks for that information Boaty boy.This situation is beyond a joke.
I had the misfortune of having to go to the Pain Clinic at Overdale last year,obviously because i was suffering pain my GP couldn't deal with.After waiting 2 months after my referal letter and still no appointment,the pain clinic said they had never received the referal,so back to the GP to send and fax another copy to them.I received my appointment letter two weeks later telling me my appointment was in 3 months time!And remember this is an appointment just for a consultation not for any treatment.Because i was in pain i couldn't wait that long so i paid £240 for a private consultation with the anaethetist at Little Grove.He confirmed i needed an MRI scan,which i had public,i couldn't afford to go private for that.Another 2 months later i had treatment at the hospital.
During this painful and stressful process i found out that the anaethetist only works once a week and only for half a day!!No wonder the bloody waiting list is so long,yet he seems to have plenty of time to have a private medical suite at Little Grove and charge £240 for  a half hour chat.If i would have gone through the hospital i would of been waiting almost a year for any treatment.
Why should i have to pay to go private to be seen in a reasonable time scale.
And to think they've got the nerve to always go on about our 'world class healthcare'
Title: Re: Jersey General Hospital
Post by: Chevalier Blanc on January 19, 2013, 02:58:41 PM
November 2011 i went to overdale pain clinic ( Which i have been attending on and off for many years ) for another check and told yes you need more injections in the back.
November 2012 i had those injections. 12 months it took.
Title: Re: Jersey General Hospital
Post by: boatyboy on April 29, 2013, 10:57:58 PM

Speaking with a close friend ( sorry no name as no permission to use it ) to day who had a knee operation and then went in for a post operation checkup a couple of weeks later.

They were told you need physio so please take this letter to the desk on the way out. So far so good.

At the desk the helpfull assistant took the letter from my limping friend, read it typed in the data, and smiled before saying. No problem you will get a letter in  " TWO MONTHS ". So maybe treament fo the operation a couple of weeks ago will be forth coming in July. :'(

They want a new bigger hospital but cannot run this one efficiently ! or get it staffed properly.

BB
Title: Re: Jersey General Hospital
Post by: Calimachon on April 29, 2013, 11:04:38 PM
Well I guess now that maybe they will be hoping that the patient will visit and pay for their own Physio in light of the appalling wait.

What a sorry state of affairs.

Cali :(
Title: Re: Jersey General Hospital
Post by: man in the street on May 02, 2013, 05:08:16 AM
Hi its Mrs Man in the street,
I just had to air my grievance re Overdale and the pain clinic.
After waiting 9 months for my appointment in pain, eventually to see a doctor who i thought was listening to me when i said, please don't send me on any pain courses, i just need injections to take the pain away, not instruction how to manage pain, i know i can, don't need to be told how!!!!!
Today i received a book to fill in about how suicidal i feel lol and an appointment for,yes you guessed,a day pain clinic course on how to manage my pain, i am at the end of my tether now.
Does anyone listen anymore, i can go to India walk into a hospital have MRI, see a consultant, have an answer straight away with a written report at a cost of £20.00!! If i could afford to do so,i would, instead i am left with no choice but to play the game, do the course, then maybe i will get the injections i need and be pain free.
It really should not be like this, this whole system needs a total shake up, the waiting lists are totally unacceptable for patients in continual pain, some of us cannot afford the exorbident costs of private care, so are left with the little time the surgeons have left by the time they have feathered their nests and seen all their private patients!!
Title: Re: Jersey General Hospital
Post by: shortport on May 03, 2013, 02:47:36 AM
I know how you feel,you can read a previous posting of mine on the topic.Sometimes I wonder if you would be better lying on the floor then calling an ambulance,then start screaming that your back is killing you,might get some more serious attention that way.
Title: Re: Jersey General Hospital
Post by: man in the street on May 04, 2013, 01:33:29 AM
 i  can only  say that  the  service  that  my  wife  has  had  from  jersey  general, is  third  world .
  when i  say  third  world ,  borneo jungle  comes  to mind .
  as   for laying on  the  floor   and  calling  a  ambulance .
 hears  a  fact if  you arrive  by  ambulance ,  you   do  get  seen  quickly.
 and  these  chumps  want  a new   hospital?
Title: Re: Jersey General Hospital
Post by: ageofaquarius on May 04, 2013, 02:24:44 AM
Man in the street you are totally right about being a 3rd world hospital.  Its top heavy with management looking at waiting lists and massaging them to look less than the 12 weeks limit. Jersey hospital does have some great consultants, but not enough registrars. They are overworked and understaffed. 

Who in their right mind wants to come to Jersey when you have to pay £500k to buy an average house, and lets be honest their not going to want to rent.  Banks subsidise good staff, the hospital don't. Unless your management, enough said.
Title: Re: Jersey General Hospital
Post by: imacrappaud on May 04, 2013, 03:47:07 PM
Hi its Mrs Man in the street,
I just had to air my grievance re Overdale and the pain clinic.
After waiting 9 months for my appointment in pain, eventually to see a doctor who i thought was listening to me when i said, please don't send me on any pain courses, i just need injections to take the pain away, not instruction how to manage pain, i know i can, don't need to be told how!!!!!
Today i received a book to fill in about how suicidal i feel lol and an appointment for,yes you guessed,a day pain clinic course on how to manage my pain, i am at the end of my tether now.
Does anyone listen anymore, i can go to India walk into a hospital have MRI, see a consultant, have an answer straight away with a written report at a cost of £20.00!! If i could afford to do so,i would, instead i am left with no choice but to play the game, do the course, then maybe i will get the injections i need and be pain free.
It really should not be like this, this whole system needs a total shake up, the waiting lists are totally unacceptable for patients in continual pain, some of us cannot afford the exorbident costs of private care, so are left with the little time the surgeons have left by the time they have feathered their nests and seen all their private patients!!

Hi Mrs Man in the Street, I can empathise with you and know exactly where you are coming from. That pain clinic is a joke. I saw a physio from there who told me I only had muscle/ligament damage so no need for MRI etc as it is not a disc problem. Went for MRI anyway as I was sent by another doctor to check for something else and low and behold one slipped disc and one in the midst of healing. Have been doing Pilates, same physio in November I think said he would phone the pilates person to explain where pain was coming from so as the pilates teacher could set exercises accordingly, did not phone, pilates teacher ended up phoning him until eventually he answered, did not phone back once despite many messages. Recently went back for check up with same physio, told me he would phone pilates again, did not. Pilates teacher left 5 messages on his answerphone (direct line by the way), never responded once.

Went to the back management course. Was Ok but lets be clear this was three months after my original referal as the waiting list was high, no fault of theirs I suppose. Anyway, in the penultimate class I was told that due to the pain not getting any better we should see about injections although I am not to keen on this idea because I want to ensure when it is cleared up it is truly cleared up not masked (I DID NOT MENTION THIS THOUGH). In the final class 2 days later the very same person who mentioned injections said, not much we can do for it now, injections wont help!! I mean do they actually get paid for this advice!

Never saw a doctor at the pain clinic, just the physios and whilst the lady there was great the two blokes I dealt with were not in my opinion. I actually went to the final class with lots of optimism and walked out feeling completely deflated and very depressed if truth be known. So in a nutshell, my referal consisted of one physio appointment, 6 hours on a pain management course and one more physio appointment. A total crock.

There is only one good thing that came out of the back clinic and that was getting a place on the exercise referal scheme, a total contrast to the physios above, fantastic people and really helpful and just plain enjoyable to talk to and receive advice and help from. It is my opinion there are two physios who really are not interested in the job at all just the money.

On the plus side, since being in the worst ever back pain I could imagine last September and having only just started being able to do full days work  I now go to Pilates, the Gym, given up smoking and because I am still not out of pain haven't had a drink since last september incase i injure it further without realising and that is almost a miracle!!!! My work have been fantastic allowing me to work from home during the worst pain and also more recently so i can do the exercise referal stuff up at the gym in the mornings before the pain kicks in too much.

I do have an open appointment with the physio bloke at overdale whereby i can phone anytime in the next few months but as you can imagine I will not be wasting my time as I cant imagine him answering the phone and even less calling me back if i leave a message.

I wish you the best of luck.

P.S. If you can afford it try some pilates, its working for me but try to do a very small class, I am doing one to one for now until hopefully my back is pain free again.
P.P.S. I did consider writing to that Anne Pryke but thought better of it, I mean if this is the treatment you get normally I dread to think what happens if you make a complaint.
P.P.P.S Rant over!!!
Title: Re: Jersey General Hospital
Post by: shortport on May 04, 2013, 10:39:15 PM
Yes I agree with you.
One of the best things I have found for my back is pilates,which I now do regularly but you need to find a good instructor and explain what your ailment is,and if you can afford it,go one to one as in a class environment you might be doing exercises that aggravate you more.My problem is a facet joint not a disc problem and we avoid any backward bending which really aggravates it.That is why a lot of yoga is no good for me personly.
On another note when I finally had my MRI scan,after paying for a private consultation to speed the process up,one of the first things the doctor said to me was that I didn't have cancer of the spine.Now this was a bit of a shock to me as I wasn't even thinking that this might be a possibility,which brings me to my next question which is surely an MRI scan should be done immediately to rule out anything like this.It seems to me our health is being put at risk so the states can save some money,but surely diagnosing a health problem early would save them money in the long run as it is more likely to be successfully treated early.
Title: Re: Jersey General Hospital
Post by: imacrappaud on May 05, 2013, 02:37:10 PM
On another note when I finally had my MRI scan,after paying for a private consultation to speed the process up,one of the first things the doctor said to me was that I didn't have cancer of the spine.Now this was a bit of a shock to me as I wasn't even thinking that this might be a possibility,which brings me to my next question which is surely an MRI scan should be done immediately to rule out anything like this.It seems to me our health is being put at risk so the states can save some money,but surely diagnosing a health problem early would save them money in the long run as it is more likely to be successfully treated early.

110% agree with that. Very similar experience to mine, spent 6 months worried because I knew there was more than just a muscle/ligament problem in back only to be proven correct and also find out nothing else worse was wrong. Although I wasnt happy that I had to pay for this (insurance backed out on me but thats another rant) it was money well spent. Another experience I had which was much more worrying and wont go into turned out to be fine but I would have been left worrying for months, and believe me there was way more cause for concern than my bad back situation until i mentioned could i claim of health insurance. That changed things somewhat. I was in, checked up, operated on and apart from pain, good to go within 3 weeks of initial GP visit, I was completely shocked when my hospital appointment came through and even phoned to make sure it wasnt a mistake!!! What a difference money makes eh! Outrageous when we pay our taxes and social to be treated properly and i would add, respectfully by all members of the health profession.
Title: Re: Jersey General Hospital
Post by: Mark Forskitt on May 06, 2013, 12:14:53 AM
I have sciatica.  Never had it before.  One thing  that emerged from talking to GPs is that they used to be able to send patients for a MRI scan,  but that stopped a little over a year ago. Now it has to be a referal to hospital, or privately paid for.
Title: Re: Jersey General Hospital
Post by: Lokel_Yokel on May 06, 2013, 04:23:29 PM
Whilst I can understand that a more modern building (Layout) would make sense over the current hotchpotch of buildings that have grown over the years - two things that do not seem to have been considered is whether Jersey will actually need facilities to cope with 115,000 people, and whether Jersey could afford to run them!

Of course Jersey could(?) get into the Private Healthcare business - whether that for OAP's, a speciality (Cosmetic surgery?) or simply general stuff with 5 star accomadation in which case a large might make sense. Apart from being an income (and tax) stream and provider of local employment would also be spin off benefits for the local healthcare by having greater facilities.

But if that not the case, then with an ever declining finance sector I fail to see WTF will economically sustain the population as it is (employment and tax) - let alone increase it. Plenty of folks have already left Jersey (just see the property rental pages in the JEP) and those are folks who pay tax and don't appear on any unemployment stats, the folks who are on the social are mostly those who either can't leave or are economically better off not doing so. Time will cure those numbers (less coming in - whether or not immigration controls work, most folks won't move to a place with no work!....and also more will eventually leave when the reality that the downturn does not have an upturn sets in).
 
to sustain the island economically Jersey needs an export (goods or services) to bring in cash - can't run an island in the manner in which we have got used to by cutting each others hair etc (money circulating simply in Jersey), need funds from outside. Lots of them.....and for a high population things which also provide employment.
 
TBH, I think if Jersey planned for a (managed) population decline down to 70,000! over the next 10 years we would all be better off - well, those of us still here!
 

 
Title: Re: Jersey General Hospital
Post by: boatyboy on May 09, 2013, 05:32:10 PM
Lokel where did you get the figure 115,000 head of population ? You are correct in questioning what does Jersey actually need ? The reason I ask because Minister Anne Pryke nor her assistant Constable John Refault could answer that most basic of questions when asked in the States. The question being asked  was how many per head of population has the new hospital to serve ? No answer,  citing silly invented unproved future possible statistics.

That is yet a further issue with a dysfunctional health service. Let us look at operation waiting lists.

Offered below by the Ministers, is the real reason if you can afford to go private and  pay you will go all the way and very quickly with your health treatment. Cannot afford to pay you stay on a very long waiting list.

Let us have a look again at the system ( to be fair instigated by the old hospital management ) that allows Consultants free rein on who is important ( give us your money ) or who is less needy requiring non life threatening, but needed operation. The non private patients who suffer the same pain and time away from a decent quality of life.

Hansard 23/10/2012

My Assistant Minister will answer this.

Connétable J.M. Refault of St. Peter (The Assistant Minister for Health and Social Services - rapporteur):
2.9.4 Senator S.C. Ferguson:

Does the Assistant Minister mean that consultants spend 100 per cent of their working time, which on a 5-day 8-hour week of 1,820 hours a year, is that the amount of time they spend on public work, in which case how on earth do they have time to spend on private patients?

The Connétable of St. Peter:

There is an understanding generally that it is a loose figure and the split is something between 30 per cent and 70 per cent.  In other words, 70 per cent of their time must be totally dedicated to the public list and 30 per cent to the private list, if those are the figures the Senator is looking for.

2.9.5 Deputy J.A. Hilton of St. Helier:

The Constable referred to a loose understanding.  I think that is quite alarming.  Coupled with the fact that the theatres are operating at way over a level that would be accepted in the U.K. it seems to me that terms and conditions that the consultants are employed under at the moment should be looked at again.  It cannot be acceptable in this Island for a private patient to be able to get a hip replacement within 4 weeks and a public patient to have to wait 10 months.  It is just not acceptable.

Therefore:

This is  one of the major reasons as to why the waiting lists are so long. Should you want further proof,   ask  the hospital how long it will take to have a  non life threatening operation  ? Say a hip or knee replacement ? which is obviously of major importance to the patient. Then say you will pay privately see the quick turnaround.

Lets us remind the management or the health Minister that  the cost to the taxpayer exceeds £175 million a year ! for a service supportive of the private sector and giving the public a second rate service.


In other jurisdictions’ Consultants may carry out private work outside of their 40 hour working week, on annual holiday or days off. 

Would your employer reader, pay you for 40 hours but allow you around a third of your contracted working hours to run your own business ? in your employers premises using all the facilities ?

How will having a new hospital solve these problems ?

Boatyboy.





Information.

http://planetjersey.co.uk/forum/index.php/topic,451.msg56598.html#msg56598

http://stuartsyvret.blogspot.com/2009/01/health-social-care-in-jersey.html

http://www.thisisjersey.com/news/2012/08/03/health-reject-claim-over-death-of-man-after-surgery/
Title: Re: Jersey General Hospital
Post by: imacrappaud on May 09, 2013, 11:48:03 PM
I dont believe having a new hospital replacing the old is really the answer unless it is going to have many more operating theatres so people can be operated on quicker by getting them through the conveyor belt quicker and ones solely dedicated to private use. Maybe another, smaller, private hospital would be a better choice whereby the doctors etc who want to do private work can then book time in its theatres leaving the ones in the general free for non private work. All the private practicing doctors/surgeons can't all work privately on the same day surely, so those freed up theatres would be available every day for the doctors not doing private surgery to continue to use them. I believe but could be totally wrong that a few are used solely for private work on certain days of the week either way they would be freed up.

The doctors/surgeons would then book the theatres for use in the private hospital just as I am sure they all have to do in the current one. It would not necessarily have to be some mammoth new hospital its just got to be able to carry out theatre and the care that goes with it. Most other stuff people go to places like little grove or the Lido for example anyway, its not as though the private hospital need be swamped with minor surgeries or things that dont require surgery. I suppose the one other thing the new place might need would be xray/mri etc so people are not shunted to the back of the queue in the general.

The general hospital could utilise the new hospital after it is built in order to get it updated rather than rebuilt and then once that is done and dusted the new private hospital just becomes purely for private work as mentioned above.

The states could build the damn thing and make money from it if need be although I wouldnt trust them to run it very well but lets be perfectly honest here if they see the money bags then maybe they would give it some thought.

Are my ideas totally illogical? What do you think? Is it just too simple and totally ill thought out? Maybe they have thought about it but it is not a money maker or it does not massage ones ego enough when they have a grand design of some new monolothic symbol to be here as a reminder it was indeed they who built it!!!
Title: Re: Jersey General Hospital
Post by: shortport on May 10, 2013, 01:04:44 AM
weren't there plans for a private hospital before but it got rejected or something because the general hospital would lose revenue.....or something like that.
Title: Re: Jersey General Hospital
Post by: imacrappaud on May 10, 2013, 02:36:29 PM
So maybe trying to have our cake and eat it is what is causing these massive delays. I wonder if there is any paperwork showing how much revenue would be lost if private work was taken out of the equation, also where the money is allocated out.
Title: Re: Jersey General Hospital
Post by: Lokel_Yokel on May 11, 2013, 06:21:58 AM
I must have read that figure in the JEP - can't remember. Might have been someone guessing!

Personally I don't see that a seperate Private Hospital is neccessary or makes sense - as long as the State does not end up subsidising the private sector by providing cut price facilities.
Title: Re: Jersey General Hospital
Post by: Chevalier Blanc on May 11, 2013, 03:14:50 PM
Ex Senator Syvret block the plans for a private hospital on the ground that the states  ( people ) would be putting money into it.
Now if he was wrong why then has nobody come back to the states with the same plans and the same developer. Is it because he was right. Remember this was one of the things that got him out of the states.
Title: Re: Jersey General Hospital
Post by: Fritz on May 13, 2013, 12:24:21 AM
Ex Senator Syvret block the plans for a private hospital on the ground that the states  ( people ) would be putting money into it.
Now if he was wrong why then has nobody come back to the states with the same plans and the same developer. Is it because he was right. Remember this was one of the things that got him out of the states.

"Saint Syvret", was actually right on this one and scuppered the plan for a hotel to use the General Hospital as a private facility.
 Unfortunately for Stu, the developer had friends in higher places.
Title: Re: Jersey General Hospital
Post by: imacrappaud on May 13, 2013, 01:46:04 PM
Ok, I never realised the one that was thought about a while back would have been using the publics money to help fund it. That is totally wrong and not what I had in mind. I was only talking small scale to relive the operating theatres and no more than that. Not a massive separate hospital and deffinately not subsidised by people who do not pay, want or cannot afford private insurance. Back to the drawing board.  :-\
Title: Re: Jersey General Hospital
Post by: boatyboy on June 14, 2013, 05:16:05 PM
A Senior respected Politician in conversation told me that the cost of the proposed Hospital at a suggested £430 million cannot be nailed down to any cohesive practical argument. It is just a ridiculous amount of money.

Part of the rough plans being talked about are incredibly spacious offices, and when asked why so large, no meaningful answer was forthcoming said my contact looking to the ceiling with a slight shake of the head.

There is no shame in wanting the best health care for islanders but I suggest that the evidence of unnecessary deaths, unnecessary ( long and painful for some ) waiting lists for non-life threatening operations, is a public scandal on a wealthy island and should be addressed with serious haste, rather than carrying forward a disgraceful all island health service to a new building.

After all a bad school is not made better by just being given a new building.

I digress, Treasury Minister Ozouf  to his credit, actually came much closer to the real cost than " La La " Pryke and her string pullers ever did, and I have the proof.

There was no coherent answer in the states assembly, when a simple question asked what size of population was the new hospital designed to cater. Even the Bailiff became exasperated with La La’s non-answer, yep ! there was no answer !

Lets go back To Senator Ozouf's view, who told the BBC between £200 to £300 million, given that Jersey has a population of 100,000. Further more, people and availability of work normally determines rises or falls in population, and work is becoming harder to obtain.

The answer reader is, In the region of £175 to £220 million for a population of 100,000. This will of course not include some specialties, these cases will need to be transported to larger tertiary centres, as Southampton is for Jersey.

The obvious place to build is the large publicly owned Overdale site on the edge of St Helier.

You know the one, the site that Jersey Development, or Dandara have their greedy eyes on.

I offer proof  to support my post. Please see links below.

http://www.bbc.co.uk/news/uk-scotland-south-scotland-22280851

http://www.constructionenquirer.com/2013/06/14/200m-dumfries-hospital-plan-cleared-to-go-to-tender/

£230 million.

http://en.wikipedia.org/wiki/Dumfries_and_Galloway_Royal_Infirmary

2,400 square miles

NHS,

http://www.nhsdg.scot.nhs.uk/About_Us/About__Us

Boatyboy.

PS

Hansard 29/01/2013

 3.8  Senator S.C. Ferguson of the Minister for Health and Social Services regarding the size of population upon which the size of the proposed new hospital was being based:

Would the Minister confirm the size of population upon which the size of the proposed new hospital is being based?

The Bailiff:

The question was what the size of the population was.  Ministers really should focus on the question.  What was the size of the population upon which the proposals for the hospital has been based, 100,000, 110,000, 95,000?

The Bailiff:

Ministers should concentrate on the question and answer it.

http://www.statesassembly.gov.je/Pages/Hansard.aspx?docid=99ea2743552c2afd87f6e62a544adfa1_StatesAssembly
Title: Re: Jersey General Hospital
Post by: Mark Forskitt on June 14, 2013, 05:44:43 PM

Hansard 29/01/2013

 3.8  Senator S.C. Ferguson of the Minister for Health and Social Services regarding the size of population upon which the size of the proposed new hospital was being based:

Would the Minister confirm the size of population upon which the size of the proposed new hospital is being based?

The Bailiff:

The question was what the size of the population was.  Ministers really should focus on the question.  What was the size of the population upon which the proposals for the hospital has been based, 100,000, 110,000, 95,000?

The Bailiff:

Ministers should concentrate on the question and answer it.

http://www.statesassembly.gov.je/Pages/Hansard.aspx?docid=99ea2743552c2afd87f6e62a544adfa1_StatesAssembly

I had not seen this quote.  I happen to agree with the Senator on this point. In fact when I gave evidence as a witness to scrutiny panel on the energy white paper, I asked explicitly that all departments should use the same model and assumptions for population predictions in the Island.
Title: Re: Jersey General Hospital
Post by: danrok on June 15, 2013, 07:43:18 AM
Looks like a very simplistic question, but I can imagine planning a hospital is far more complex than a simple head count.
Title: Re: Jersey General Hospital
Post by: Mark Forskitt on June 18, 2013, 12:49:27 PM
Yes it is more complicated than a head count, but so is a population model.  Both will give you a demographic distibution over time.  Without other specific information the demographic changes over time are the best predictor of demand for service, including medical and by extension the hospital.   

What we really dont need is the social security department doing pension calcs on the assumption we are going to import youngish workers to prop up the scheme finances at the same time as environment assuming we are going to have stable numbers so we can meet our Kyoto C02 targets, at the same time as housing assuming there will be a decreae in populaitsn so their problems will just sort themselves out magically over time.

To put it another way an agreed across the board population model and assumptions is the basis of some sort of joined up thinking in government.
Title: Re: Jersey General Hospital
Post by: boatyboy on July 04, 2013, 03:11:53 PM
So Minister Ann Pryke is requesting £430 million pounds for a new hospital, when her department is pushing for more care in the community for senior citizens. Again none of her exaggerated figures add up. Jersey has around 100 thousand head of population and is not a specialist centre, it never will be.

Birmingham has a specialist children’s hospital of excellence servicing a population of 1.1 million people, and with over 200 thousand children patients visiting.

Again this example shows how Jersey’s Health  Department  are way out in the universe, with their figures. It appears they thought of a figure and doubled it, then added a bit more for luck. Birmingham children's hospital is to the midlands and further north giving children treatment as Great Ormond Street does, for London and further south.

Malala Yousafzai, the girl who was shot in the head by Taliban gunmen, was treated at this specialist hospital after arriving in the UK. She arrived by Helicopter not ambulance at the hospital after being flown to the UK.

They will be building, after demolishing the old Victorian site, a brand new hospital and research campus. Cost £450 million.

BBC

A new £450m Birmingham Children's Hospital is being planned on the Queen Elizabeth Hospital site.
The chief executives of the children's, women's, and Queen Elizabeth hospitals have signed a joint agreement which would create a new health campus.

http://www.bbc.co.uk/news/uk-england-birmingham-23167081

----------------------------------------------------------------

Birmingham Children’s Hospital NHS Trust
Over 100 doctors, nurses, volunteers and support staff from Birmingham Children’s Hospital have been recognised at this year’s annual staff awards, for their tireless commitment to children, young people and families.

http://www.bch.nhs.uk/news/article/4091-hospital-stars-honoured-sparkling-annual-awards

Four hundred staff at the hospital were nominated by their colleagues, patients and families for one of 11 awards, at the sparkling Midsummer Night of Stars held at the Botanical Gardens in Edgbaston.

Located in Birmingham City Centre on Steelhouse Lane, we provide the widest range of children’s health services for young patients from Birmingham, the West Midlands and beyond, with over 240,000 patient visits every year.
Our hospital is home to:

•   354 beds across 22 wards at Steelhouse Lane and our Child and Adolescent Mental Health (CAMHS) site at Parkview

34 specialties (including liver transplant surgery, cardiac surgery, burns, major trauma, craniofacial surgery, blood and marrow transplantation, specialised respiratory and dermatology, neurology, cystic fibrosis, Child and Adolescent Mental Health Services)

.   3,330 staff

http://www.bch.nhs.uk/corporate/about-trust

bb
Title: Re: Jersey General Hospital
Post by: danrok on July 04, 2013, 11:12:34 PM
Do both figures include the cost of demolition? It can be a substantial part of the cost.

Presumably, our hospital won't be demolished, at least not until a new one is in operation.
Title: Re: Jersey General Hospital
Post by: boatyboy on July 04, 2013, 11:40:19 PM

Good point danrok, I would not know for sure, but when a budget is set by competent people, one would hope that the budget asked for would cover everything.

On reading it again, it came to me that they actually have 240,000 patients a year we only have 100,000 people as a population in total. Its unknown how may patients visit the Jersey General, maybe a reader could let us know ? Even a guess of 25% of our population which would be 25,000 people, plus a few visitors. This again throws up Jersey's build cost of £430 million as lunatic.

bb
Title: Re: Jersey General Hospital
Post by: Bentos on July 05, 2013, 01:42:01 PM

my mother currently attends every two weeks
Title: Re: Jersey General Hospital
Post by: boatyboy on September 24, 2013, 07:41:41 PM

Health officials say new hospital site to be named in four weeks. One would have thought Minster Pryke would have made this announcement. Then again probably not.

One really has to wonder why the Minsters especially  Treasury Minister Ozouf, so concerned about the cost of property in the Lime House fiasco, which saw the
Auditor General Mr Swinson resign has not kicked up an almighty fuss ?

It is simple maths,  it is far to much money ( figure being banded about as a mere £348 million ) down from £400 million.

For proof  - please click on link below.

NHS Dumfries and Galloway serves a  population of 148,190 but within a large geographical area of about 2,400 square miles. The Health Board employs around 4,500 staff excluding GPs and Dentists.

http://planetjersey.co.uk/forum/index.php/topic,451.msg57341.html#msg57341

Boatyboy.
Title: Re: Jersey General Hospital
Post by: boatyboy on October 02, 2013, 04:38:38 PM

New Hospital site to be announced in a couple of weeks. This will be the largest amount of tax payers money spent probably this century.

Time to take notice before younger generations are put in dept. by the heavy spending of a few who do not understand the economics of hospital construction.

http://planetjersey.co.uk/forum/index.php/topic,451.msg57341.html#msg57341

BB
Title: Re: Jersey General Hospital
Post by: gladiator on November 07, 2013, 03:52:29 AM
What chance do cancer patients in Jersey have, if you read below articles and UK national cancer treatment guidelines?

In below JEP article there is no mention about cancer appointments and waiting times which is not a surprise as there are no statistics of the hospital’s performance in public domain as displayed in the UK.

Health: Most patients now wait less than three months
Tuesday 8th October 2013, 8:00AM BST.

http://www.thisisjersey.com/news/2013/10/08/health-most-patients-now-wait-less-than-three-months/

EIGHTY-FOUR per cent of patients are now waiting less than three months for routine surgery at the General Hospital, according to the Health department.
Helen O’Shea, the hospital’s managing director, said that there had been ‘significant improvements’ in waiting times for neurology, cardiology and dermatology appointments.


So what about the cancer treatment performance of the Jersey General Hospital Mrs O’Shea?

What health service standard should the Jersey people expect who can’t afford private care?

The UK Cancer treatment standard also needs improving, compared to international standards. There is a £750 million investment plan over the next 4 years put in place by the government. Obviously Jersey is a small island but has a large population of 100.000 and increasing. I wonder how much of the hospital and community health budget is invested into cancer care including for children?


The UK waiting time standards are:

Currently, all patients referred with suspected cancer by their GP have a maximum wait of two weeks to see a specialist. This also applies to all patients referred for investigation of breast symptoms, even if cancer is not initially suspected.
Cancer patients should wait no more than 31 days from the decision to treat to the start of their first treatment. It is also expected that any subsequent surgical, drug or radiotherapy treatments will be delivered within 31 days.

All patients should wait a maximum of 62 days from their urgent GP referral to the start of their treatment. This 62-day standard also includes all patients referred from NHS cancer screening programmes (breast, cervical and bowel) and all patients whose consultants suspect they may have cancer.

http://www.nhs.uk/NHSEngland/NSF/Pages/Cancer.aspx


I suspect that the waiting time is too long to see a consultant cancer specialist and / or to be treated compared to the UK guidelines and what is Mrs Anne Pryke as the accountable Health Minister going to do about it?

Colchester University faces a police probe over possible falsifying data regarding waiting time etc. and the CQC ‘s ( Care Quality Commission, which is one of the highest health care regulators) chief inspector Sir Mike Richards is shocked that  “people’s lives may have been put at risk for the sake of the waiting times figures”.
In some cases people did not get cancer treatment within the required 62 days and in three cases delays exceeded 100 days, the CQC said.
“If you are diagnosed with cancer you are entitled to think that your hospital will do all they can to ensure you get treatment you need as soon as possible... Clearly this report raises questions over the safety and effectiveness of these services. But it also raises questions at the highest level,” he said

http://www.independent.co.uk/life-style/health-and-families/health-news/colchester-hospital-university-faces-police-probe-over-cancer-care-8922894.html

Instead of wasting money on posh buildings, posh architects’ salaries and senior managers’ golden hand shakes what about re-setting the priorities right and put the people’s welfare first? Also achieve a national comparable high standard health service with  patient-centered care and not a business-driven model which does nothing to provide a transparent, competent and accountable management structure with competent leadership? Finally to prove it publish the outcome data in public domain which would prove respect and openness to the Jersey people.


Title: Re: Jersey General Hospital
Post by: Dundee on November 07, 2013, 04:49:56 AM
Through my experience times vary depending what department it is, I should imagine if it is a serious case the time is less. I have had several operations and appointmnets with ENT and waited 4 to 6 weeks generally. My Back was from 2-3 months, but this can go on as you see a doctor then x-ray-then back to the doctor-scan-doctor-different scan-doctor, I had this all whilst in chronic pain, I forgot how long it went on for, but I got no better during the years this went on, and this is common practice.

A good friend had cancer last year and I think he was diagnosed fairly quickly and treated within a couple of months if not less, I never heard him fault the service, after chemo and operations he passed away within 10 months of the diagnosis.
Title: Re: Jersey General Hospital
Post by: ageofaquarius on November 09, 2013, 04:40:30 AM
Speaking from experience I can say they move damn quick if there is a serious cancer going on, leave aside all the waiting times etc., the consultants work on facts and if a tumour is proved they don't hang around, all in all its a good service.
Title: Re: Jersey General Hospital
Post by: man in the street on November 09, 2013, 11:54:28 PM
 i  had a camera  inserted the other day and can go  back  with in  three months for another check.
 and this was  rapid .
  my wifes   problems  ortho pedic   and   skelatal  for want of a discription ,  are at a total snails pace and a shambles .
  she has found out that she has a  appointment,    but  no letter to say she  has one ,  so will wait and see if the letter  arrives .
  and mr dunlop  at the general is a good  bloke,  his work is spot on . fixed  my wife ,  sadly  the  wait (    only  12 months)    for  phisio ,   was  a great  step back,  and still on going to day .
Title: Re: Jersey General Hospital
Post by: gladiator on November 12, 2013, 05:18:27 AM
TREATMENT of CANCER in JERSEY.

Ageofaquarius.
Speaking from experience I can say they move damn quick if there is a serious cancer going on, leave aside all the waiting times etc., the consultants work on facts and if a tumour is proved they don't hang around, all in all its a good service.

End.

It is very difficult to comment objectively on a hospital service based on anecdotal experiences. Like any other doctor, consultants should work on evidence-based facts and I am very pleased that you had good experiences. To state a high standard of care, it has to be evidenced by good quality data judging the outcome, such as survival rates , re-admission rates, infection rates, patient satisfaction, etc. and should be in the public domain, so the taxpaying public and everyone else should be informed about the results how well the hospital performs with their invested money  and not kept secret in my humble opinion.

However to collect good quality data is difficult, as for the same cancer type it can vary a lot depending on the age group, available treatment, equipment, medical, nursing and community expertise. Also as for Jersey whether the patient followed the private care pathway because recent reports indicate that the general public are having to wait overall unacceptably too long.

Diagnosing cancer early is the most important step in order to survive.

Now this is the main problem in Jersey, due to the terrible long waiting times on all levels and paying the GP £38 pounds per visit which a lot of people can’t afford. Again there would be an advantage for the private patients which shouldn’t be nowadays in my humble opinion. Also the provision of easy accessible expertise and equipment is vital.

There are some cancer statistics of cancer incidence and relative survival rates of Jersey and Guernsey in the Channel Islands Cancer Registration Report incorporating data 2007-2009 published July 2012. But the data is limited as not all cancer types are incorporated and the data is only compared to the Southwest and not to the UK.

https://www.gov.je/SiteCollectionDocuments/Government%20and%20administration/R%20CI%20Cancer%20Registration%20Report%202012%20MC%2013012013.pdf

As said before the UK cancer survival rates and care is in some cancer types poor, compared to other European countries and the rest of the world. However there are global world cancer studies published and on the way to objectify this.

Interestingly, Jersey’s neighbour France is very well known to provide excellent cancer care.

The health system in France is regarded as delivering a high quality service with freedom of choice and generally no waiting lists. People can get the treatment they need irrespective of their social or work status. However, this quality comes at a price: health expenditure in relation to GDP (Gross Domestic Product) is among the highest in Europe.
The costs of cancer diagnosis, treatment and surveillance are completely covered by the Sécurité Sociale.

Analysis of the relationship between health system organisation and cancer outcome is complicated and requires more information than presently available in particular in Jersey.

What are the investments into cancer care in Jersey which includes the community, Macmillan Nurses ,who do an excellent job, cancer screening programme, further cancer training for nurses and doctors, etc? What are the waiting times for oncology (cancer department)? What are the waiting times until the first diagnosis of cancer and first treatment? Are they comparable to the UK? Why is there no such data in the public domain as in the UK and the rest of Western Europe?

Why not be sensible and take advantage of the excellent cancer care by France and arrange a special contract with France to reduce waiting time and improve survival rates for the Jersey people? There should be enough civil servants on excellent salaries obviously adapted to their competencies to arrange this, or maybe not?

What is the responsible and accountable Health Minister Anne Pryke going to do about upgrading Jerseys’ cancer care?
Title: Re: Jersey General Hospital
Post by: boatyboy on November 15, 2013, 12:15:34 AM


It is always good to praise staff when they are working hard and coming up with positive results. So congratulations to the four teams for the awards given to by the panel, as reported of course they are highly trained.

The article in the JEP though, was dismal and reeked of spin.

Any half decent six form school reporter would have done better by asking some reasonable questions.

As this was an “ in house “ panel, who sat on the panel ? names please and position within the management of the hospital .
One would hope that the judges were not in any way connected to the departments being judged, as to be judged by one’s own management must arouse complaints of self interest and the judging being conflicted.

The three separate categories were – patient safety, customer care and value for money.

Were nationally recognised NHS standards used as benchmarks for the Jersey teams, or local standards bench marked against last years local achievements?

Again if it was local standards does this indicate that value for money means that “ private care “ has  reduced in cost, or that departments are running more efficiently with fewer staff ? It could mean that more islanders are being seen and treated sooner compared to last year, but the article on-line  does not make any of this clear.

The general view is that the waiting lists are too long unless you pay. There are obviously some excellent and professionally dedicated staff at the Hospital.

This JEP reporting is so devoid of real facts, all it achieves is to patronise the reader. Clearly the JEP feel we are close to stupid.

JEP  [ No comments allowed ]

TEAMS from across the Hospital have been recognised for their dedication and commitment to providing Islanders with good quality care.
The four winning teams were honoured in three separate categories – patient safety, customer care and value for money.

A total of nine groups of staff from Health and Social Services made presentations to a judging panel at the department’s annual Quality Improvement Awards.
On Friday, the bowel cancer screening team was announced as the overall winner and were presented with their award by Jersey’s Bailiff, Sir Michael Birt, and Health chief executive Julie Garbutt. They will receive an additional £1,000 to invest in their project.

http://www.thisisjersey.com/news/2013/11/13/bowel-cancer-screening-team-receive-hospitals-top-award/

BB
Title: Re: Jersey General Hospital
Post by: gladiator on November 19, 2013, 03:42:21 PM



You might find this interesting to read. I stumbled over this report in public domain from the GMC visit to the A&E department of the Jersey General Hospital on 23.01.2013 which was a targeted check:

Just to explain the background:

Due to the A&E crisis in the UK in view of overwhelming patient load and difficulties in recruiting A&E ( Emergency Medicine) doctors,  there is a lot of attention paid now on making A&E trainings post attractive and ensuring that A&E trainee doctors receive the best education and training  in order to provide patient safety and improve recruitment.
Within the NHS structure the Deanery is the responsible organization for postgraduate medical and dental training and commissions training from the employer ( Hospital ) normally through an educational contract with the unit providing postgraduate education. That means that the hospital is responsible to ensure that adequate training is provided otherwise they would loose the educational contract which means again they loose money.
Doctors are governed by the GMC. The General Medical Council is the independent regulator for doctors in the UK. Their statutory purpose is to protect, promote and maintain the health and safety of the public by ensuring proper standards in the practice of medicine. The GMC has strong and effective legal powers designed to maintain the standards the public have a right to expect of doctors.

GMC ( General Medical  Council) VISIT TO JERSEY GENERAL HOSPITAL

GMC Quote:

These checks were prompted by an increasing number of concerns reported to the GMC about emergency medicine and particularly relating to very junior doctors in training working at night unsupervised. In April 2012 we completed an audit of emergency department rotas, which found 20 sites that did not clearly demonstrate on-site supervision from a senior doctor in the emergency department overnight. In particular our standards for the supervision of foundation Year 2 doctor’s were being breached.

My comment:

Recent qualified doctors are called Foundation doctors and Yr 2 means they are in their 2nd year of postgraduate training.

GMC Quote:

Core and foundation doctors in training we spoke to said they felt unprepared for their night shifts and out of depth due to the lack of middle grades and consultants available within the department overnight. Foundation doctors we spoke to said they have experienced problems in attending teaching due to the rota and being released for teaching.

Patient Safety
 
The emergency department does not have clear protocols for escalation of patient cases advising core and foundation doctors working alone at night regarding when to contact middle grades and consultants for advice.

Consultants review night time working and look over notes of patients remaining in the emergency department; however notes of patients that have been discharged or admitted to wards are not reviewed. Doctors in training are missing out on key learning opportunities and without senior review run
the risk of becoming more confident without necessarily becoming more competent.


http://www.gmc-uk.org/static/documents/content/Jersey_General_Site_Report.pdf

My Comment.

Most people in the NHS and Jersey’s health service have a vocation and are trying to do a good job. However there are serious problems arising from staff shortages in key areas and a chronic shortage of accountability and responsibility among some administrators and clinicians.
Nurses and midwives are governed by the Nursing & Midwifery Council (NMC) and doctors by the GMC who set the standards of practice. Any incidents of falling below standards should be reported to their respective professional bodies to be investigated.

However Managers do not have an overarching professional body to which they are answerable to. That means poor performing managers can move around hospitals or posts (often resigning rather than being fired) without impedance and even with golden hand shakes paid by the taxpayers.

Is there a two tier health service in Jersey of public care and private care making a difference between social and work status of the patient but all paid for by the taxpayers?

Where is the evidence that managers put patients’ safety as their highest priority, if they are not interested to report and publish the hospital’s performance and annual financial report to prove the public that they get high quality care and feel that their lives are in safe hands for their money ?

Has the Health Minister Anne Pryke followed the Mid Staffordshire NHS Foundation Trust Public Inquiry in particular the final report published 6 February 2013?

Quote:

“a story of terrible and unnecessary suffering of hundreds of people who were failed by a system which ignored the warning signs of poor care and put corporate self interest and cost control ahead of patients and their safety

http://www.midstaffspublicinquiry.com/sites/default/files/uploads/press_release_-_final_report.pdf

My Quote:

Considering that the Wessex Deanery also visited the Medical and Orthopaedic Department raising concerns regarding the supervision of the junior doctors and the experience level of the Medical middle grade doctors in 2012 and made recommendations is rather alarming.

So is Health Minister Mrs Pryke going to do her job and stand up for the public who elected her and pay her, and ensure that the hospital managers get a grip and don’t let people die unnecessarily?


Title: Re: Jersey General Hospital
Post by: gladiator on March 02, 2014, 04:53:54 AM
Interesting news in the Guernsey Press which should be given to the Jersey Health Minister and team as homework to read, review and follow.

March 1, 2014 1:29 pm
Watchdog tells doctors to justify their charges
DOCTORS will have to justify their charges in a landmark investigation by the regulator.

Quote:

‘One of the things we do as part of our competition focus is to look at whether a market is delivering good outcomes for consumers or whether there are recommendations to be made as to how the market could get better,’ he said.

http://guernseypress.com/news/2014/03/01/watchdog-tells-doctors-to-justify-their-charges/

First small  step in the right direction but excellent quality of health care should not be based on the size of your wallet. However what a remarkable change of attitude of Guernsey's authorities to start doing "checks and balances". Mrs Anne  Pryke and her colleagues might want to pay some attention to this. 
Title: Re: Jersey General Hospital
Post by: ageofaquarius on March 03, 2014, 04:55:12 AM
Is this GP's or Consultants at the hospital?  GPs over here should justify their charges, £40 for taking your blood pressure and handing over our quarterly script is I think a tad excessive.

Consultants at the hospital don't charge if you are referred by your GP, if you don't mind the 12 week wait, in which case you go private, which does cost plenty - some are more reasonable than others. Some consultants will see you initially privately but if you don't have private insurance are happy to follow you up on the public sector. 
Title: Re: Jersey General Hospital
Post by: boatyboy on May 14, 2014, 04:29:06 AM
Thanks so much to a personal and close friend who forwarded the link below regarding another islander being let down by ridiculously long consultant appointments at Jersey's General Hospital.

Mr Colin Egr'e waited months to see a consultant when he eventually did, he was diagnosed with advanced prostate cancer.

Mr Egre being telling his side to the BBC.

Click on BBC link below, then click on resume box the interview will be found at 59minutes and 40 seconds along the lower bar which you can slide.

http://www.bbc.co.uk/programmes/p01y5cwf          —       

There are some excellent clinicians and nurses who are professional and caring in their work. However patient waiting lists have not shrunk under the management brought in by Anne Pryke and this is the result.

Anne Pryke should resign or be sacked by the Chief MInister as an incompetent, she has had long enough to do some good at this bloody hospital. As if a new building will make any difference when islanders are treated like this.

I am sure we all wish Mr Egre a full recovery.

Thanks to the BBC for keeping this on line for 6 days and to bother interviewing him.

Boatyboy.
Title: Re: Jersey General Hospital
Post by: moot on May 14, 2014, 04:49:31 PM
BB Is this Colin Egre, the former deputy ? I agree with you that Anne Pryke is useless. She is weak, diddery, complacent and doesn't have a grip. She waffles when interviewed. She is not a boss..
She should go at the earliest to save lives. There are too many chiefs and not enough Indians at the hospital
I am sure there are many good stories but I have heard some horrific ones re misdiagnosis etc.  Some consultants are far too concerned with private patients and their money that others suffer. I was told one consultant who recently retired earned £1 million pa
Title: Re: Jersey General Hospital
Post by: boatyboy on May 14, 2014, 11:41:31 PM
Interesting Moot,

I don't know if it is the same Colin Egr'e, however this makes a complete nonsense  of the figures given out in answer to Deputy Higgins questions regarding waiting times to see consultants. I see pain is only nine weeks, I bet you my last pound that if you were a states member in pain that would not be the case.

Or how about,

Orthopaedics 1246    people   waiting    with a waiting time given as     21 weeks.

To try and be fair they say that if your GP says it looks serious they you can be fast tracked. The problem is with cancer and many other illnesses, you may suffer mild symptoms at the beginning but still have an aggressive condition, if it could be a killer illness straight in for proper and detailed tests. In the UK the NHS I believe have a maximum waiting time to see consultant of six weeks.

Consultants working for the Government ( NHS ) are only allowed to do see private patients on their days off or holidays there is a set stiff procedure that applies to them all. If they do not like it they go and join a private practice.

The question is so basic, HOW are consultants in Jersey managing to run their own private businesses after a busy 40 odd hour week attending to the public.
If they were doing a full week, they would be tired, as many people are -  after a normal week at work.

Answer they are not. They are not regulated anything like their UK opposite numbers.

I cannot speak for others but in all the job's I have had, if I had asked my boss for time off ( while being paid ) to go earn extra money working somewhere else they would have shown me the door.

Excellent questions from Deputy Mike Higgins. Can anyone really believe the answers are truthful ? Certaily not Colin Egre who said he waited months.

2.16 DEPUTY M.R. HIGGINS OF ST HELIER OF THE MINISTER FOR HEALTH AND SOCIAL SERVICES REGARDING THE WAITING TIMES FOR MEDICINAL PROCEDURES:

Question

1.  Further to the answer given on 19th January 2010 (5026) would the Minister provide an update, for each medical discipline/specialism (for example: cardiology, neurology, orthopaedics etc), of -

a.  the number of consultants employed on a full time and part time basis in each area?

b. (i)  the number of non-private health insurance people on waiting lists to see a consultant in each area; and

(ii)  the average waiting time for these to see the consultant?

c.  (i)  the number of private health insurance people on waiting lists to see a consultant in each area; and

(ii)  the average waiting time for these people to see the consultant?

2.  The total number of operations performed in each discipline at the hospital for each year from 1st January 2008 to 31st December 2013 stating -

a.  the number of private and non-private operations carried out in each discipline for each year;

b.  the cost of performing these operations in each area for each year for non-private health insurance patients and private health insurance patients?

3. The number, disciplines and costs of locums and agency nursing staff employed by the hospital for each year from 1st January 2009 to 31st December 2013?

http://www.statesassembly.gov.je/Pages/Hansard.aspx?docid=ab8634a49ff16b6be937e114733a68d4_StatesAssembly

BB




Title: Re: Jersey General Hospital
Post by: ageofaquarius on May 15, 2014, 01:43:59 AM

Initial referral to the hospital would have been from his GP.  He would have taken a PSA reading which if it had been dangerously high, he would have been seen on a soon to urgent basis. 

We have an excellent if not overwhelmed urology department, as well as a regular UK visiting urologist specialising in prostate cancer. 

Perhaps the finger should be pointed at this GP for late referral.

GPs are often a bit slow at referral and would rather keep the patient on their books, after all patients are a cash cow - not so at the hospital.

I could write a whole dialogue on JGH and why it is failing us, perhaps after dinner I will add a chapter or two.  The biggest problem is staff shortages of clinical staff.
Title: Re: Jersey General Hospital
Post by: Fritz on May 15, 2014, 03:44:52 AM
There is something seriously wrong with the health dept.
A few months ago I felt a little lump behind my ear. Felt like a little zit but when I had a look, with the aid of a couple of mirrors, i couldn,t see a head on it.
Over a couple of weeks i felt it getting bigger, not painful or itchy or anything, but decided to go and see my GP.
When I got there, he diagnosed it as a blocked sweat-gland. (Basically a zit by another name).
I asked him to lance it, (As GP,s used to do with boils etc), but he refused, telling me that it was a surgical procedure and could no longer be carried out by a GP.
He made an appointment for me to see a specialist a few weeks later at the General Hospital.
A few days later I was walking up the road and it was very hot. I felt behind my ear and a waxy substance was oozing from my ,"zit". It wasn,t pussie. My blocked sweat gland had un-blocked itself and, after a little bit of squeezing, the lump completely disappeared.
I informed the General Hospital, but they insisted that I keep the appointment so the consultant could confirm that I was ok.
I kept the appointment and explained what had happened to the consultant. I apologised for wasting his time, but he insisted on examining my ear.
He made a few notes, and mumbled something about a collapsed cyst. (IE: Burst zit).
I could not believe it when he made a further appointment for me to visit again six months later for a routine check up on my now non existent, "Zit".

Great service you might think. And I might agree if it were something serious. But how much money has my,"zit", cost the taxpayer to date, let alone its further appointment with a specialist?

It all boils ,(pun intended), down to whoever decided that GP,s are no longer qualified to lance boils, (Or blocked sweat glands).

The way I see it, the doctor is paid to see me. He then forwards me to a consultant who is also paid to see me, and doubles up by insisting that he is paid to see me again.
The doctor,s and consultants fees must be astronomical, let alone the administration costs.
I,m actually starting to feel guilty for not having the dexterity to deal with the problem myself.

 
Title: Re: Jersey General Hospital
Post by: ageofaquarius on May 15, 2014, 04:16:38 AM
Well Fritz I'm happy to hear your zit was sorted out by yourself, however a visit to a specialist for peace of mind is priceless and in a perfect world that's what the hospital is there for, just in case your zit turns into something more serious a few months down the road.  Imagine if they had discharged you and 3 months later is showed its ugly head again and was something more sinister.

Title: Re: Jersey General Hospital
Post by: gladiator on May 15, 2014, 05:55:53 AM
Fritz

I agree with Ageofaquarius as the GPs are generalists and the consultant is saving you the £39 GP fee. You have certainly not wasted anyone's money or time for your health and future. The GPs pay usually tariffs to the hospital and just part of it funds the doctor's salary.

The Jersey's health service is utterly different to the UK in that way that the GPs are not under the responsibility of HSS. Therefore health minister Anne Pryke is not accountable for the GPs standard of quality of care and services provision. I am happy to be corrected, if I am wrong.

 In the UK the community care is usually shared between the hospital and the GPs but often commissioned and led by the GPs. As the UK GPs are commissioned by the government and the hospital services are commissioned by the GPs there is a certain mutual interest to provide a cost efficient integrated health service which is free for the people. That means the GPs want to keep their patients as healthy as possible ( health promotion), so they don't spend their money for unnecessary hospital referrals and the hospital services try to be cost efficient in order to encourage GPs to refer as early as possible in order to achieve a positive outcome for the patients's illness. Obviously this is the ideal picture which is often hampered by staff shortage and mismanagement of funds.

So I wonder who is accountable for the Jersey's GPs standard of quality of care and their services?

It can't be in the interest of a business clever GP to be accountable to HSS and hospital consultant who thrives on the unacceptable long waiting times by spending most of their working time in private care . Therefore there will be no change and no reform to  free healthcare for the Jersey population for GP / community care in the near future.

In the White Paper document which is endorsed by the States and Health minister Anne Pryke  is no mention about reforming the current status of the Primary Care ( GPs) apart from the consideration to possibly subsidising their fees for patients with long term conditions. See page 22 in the White Paper.

White Paper

http://www.statesassembly.gov.je/AssemblyReports/2012/R.082-2012.pdf

See also the Speech by the Minister for Health and Social Services, Deputy Anne Pryke, to the States Assembly, proposing the re-design of health and social care in Jersey
24 October 2012

http://www.gov.je/News/Speeches/HealthMinisterSpeeches/Pages/ANewWayForward.aspx

Considering some politicians are very proud to be living on an island which is an international finance centre, involved in legal tax avoidance schemes and some politicians able to spend taxpayer's money for their narcissistic oil paintings, Mace parties, jollies to the Caribbean etc., it is incomprehensible to me that their own people don't get a free health service of a high standard of quality of care.

Although a lot of good and important changes to the health and social care services have been proposed in the White Paper, why hasn't it been challenged to make Primary Care responsible to HSS which would have given free healthcare a chance?

http://www.statesassembly.gov.je/Pages/Votes.aspx?VotingId=2590
     
Title: Re: Jersey General Hospital
Post by: ageofaquarius on May 15, 2014, 01:57:45 PM
Good post Gladiator.

I would add that Ann Pyke is not as brave as her previous health ministers.  Stuart was a one off and look what happened to him.
Perchard didn't last long at all and neither did Shenton.

Taking on HSS is a poison chalice, you can't do right for doing wrong and anyway, I believe she has very little power and its more to do with the MD.

Like most large states/local government departments, efficiency is way down on the list of priorities and I am baffled by some of the decisions the hospital make.   The latest 'lean' attitude that all states departments are supposed to adhere to is a joke - they make cuts at the bottom and leave the top boys alone.

On a lighter note, but equally important is the cruellest cut of all - the change from 2 ply to 1 ply toilet paper in all hospital toilets.  A disgrace.

Title: Re: Jersey General Hospital
Post by: Fritz on May 16, 2014, 01:45:15 AM
Well Fritz I'm happy to hear your zit was sorted out by yourself, however a visit to a specialist for peace of mind is priceless and in a perfect world that's what the hospital is there for, just in case your zit turns into something more serious a few months down the road.  Imagine if they had discharged you and 3 months later is showed its ugly head again and was something more sinister.

My GP assured me immediately that it was definitely not, "Something more sinister". But he was not allowed to carry out what are now classed as surgical procedures. Any ,"Surgical procedures", now have to be carried out by surgeons.
Not complaining about the service. I,m complaining about the total madness of the administration!! IE: A qualified Doctor cannot ,"Lance a boil", or sort out an ingrown toe-nail etc. for fear of recrimination.
The world has gone ,(Very expensively), mad.


Title: Re: Jersey General Hospital
Post by: Fritz on May 16, 2014, 01:47:56 AM
On a lighter note, but equally important is the cruellest cut of all - the change from 2 ply to 1 ply toilet paper in all hospital toilets.  A disgrace.

The cost of my no longer existent ,"zit", is probably responsible for that. ;)
Title: Re: Jersey General Hospital
Post by: gladiator on May 18, 2014, 11:39:12 PM
Report from BBC JERSEY 17 May 2014

Jersey considers independent hospital regulating body

Ministers said they felt external hospital oversight would benefit care

Half of A&E patients 'non-urgent'
Intensive care unit work completed
Operating theatres built on stilts
Plans to introduce an independent regulating body to oversee hospital services in Jersey are being considered by the Health Department.

Ministers said they felt external oversight would benefit care quality.

It would also help the island keep pace with developments in health provision elsewhere, they added.

Assistant Minister John Refault said: "We must remain ever-vigilant that there are moving trends around us and we must do our best to reflect those."

The island's general hospital, which currently sees about 250,000 patients a year and employs about 1,600 staff, is currently self-regulated.

Mr Refault said: "It is up to us to put in place another form of regulation to ensure that someone checks that we are looking at ourselves appropriately."

One option being considered was collaborating with the Isle of Man to create a regulatory commission for both islands, Minister Anne Pryke said.

She said teaming up with a place that had a similar-sized population would mean they could work with another jurisdiction that had "similar challenges".

It would also be cost-effective, she added.

http://www.bbc.co.uk/news/world-europe-jersey-27437578


There are a few problems here which Assistant Minister Mr Refault and Health Minister Mrs Anne Pryke have not considered or have been misinformed by their civil servants.

First of all the Isle of Man's health and social care services system is an adopted NHS model since 1948 with the promise of universal healthcare free at delivery.

Secondly the IoM's department of health and social care are not only responsible regarding hospital and mental health services but also for the community care and GP services whereas in Jersey the GPs are privately run businesses and it seems they are not regulated by a higher authority. The White Paper document which has set the way for a reform of Jersey's health and social care has no plans to change the status of the GP services.

Thirdly following concerns of about patient safety at IoM Noble’s ( name of hospital)  in 2012 by 10 hospital consultants in a letter leaked to Isle of Man Newspapers which led to a backbenchers’ call for the resignation of the then Health Minister David Anderson. The Isle of Man Department of Health and Social Care has commissioned the West Midlands Quality Review Service to undertake a rolling programme of external independent quality assurance of Isle of Man health services over the next three years.
 
This was subsequently published:

Damning report into Isle of Man’s health services
by Adrian Darbyshire
Published on the 11 April 2014 on IOM Today on-line

Quotes:

A damning report into patient care at Noble’s Hospital has highlighted staff shortages, weak management and a culture of blame.

‘The prevalence of blame was undermining morale of staff and confidence of patients,’ the report found.

There was also lack of trust, a perceived lack of openness and staff frustration, while a culture and governance of the services had ‘drifted away from what is considered good practice in England, including a loss of insight into what constitutes a good healthcare system and good clinical practice’.

Reviewers saw many examples of ‘due process’ not being followed.

http://www.iomtoday.co.im/news/isle-of-man-news/damning-report-into-isle-of-man-s-health-services-1-6552746#comments-area

Then the next issue arose:

Is £2.1m enough to solve Isle of Man’s health service problems?

http://www.iomtoday.co.im/news/health/is-2-1m-enough-to-solve-isle-of-man-s-health-service-problems-1-6602734

But the IoM didn't even stop there as they also had the Beamans Report published in Dec 2013 which investigated the management effectiveness which makes a very interesting read.

Quotes:

Isle of Man Dept. of Health: Review of Management Effectiveness Noble’s Hospital

Beamans Management Consultants were invited by the Chief Minister and the Chief Secretary to carry out a review to determine how effective existing management arrangements are at Noble’s hospital in managing and co-ordinating the provision of acute health care.


1.3 The full terms of reference for the review were:

To provide an assessment of the management demands accorded by the effective running of Noble’s Hospital and as part of that assessment:
• Review the role, functions and senior management structure of Noble’s hospital.
• Identify changes or improvements which might be made to the way in which existing functions are delivered including any issues e.g. human resource, organisational etc., which may be adversely impacting on the efficiency or effectiveness of service delivery.
• Identify the most efficient and effective senior management structure to meet current and future operational requirements.
• Recommend changes, identifying costs and benefits, and an implementation plan.
In undertaking the review the review team will have regard to models of good practice in the UK and other jurisdictions.

In this section we outline a number of proposals for change which we believe will put in place a more modern, patient-centred, accountable system of governance and accountability which will provide better support to the effective delivery of acute health care.

My comment:

If Jersey's Health Minister Anne Pryke and Assistant Health Minister John  Refault really mean it seriously to have an independent regulator ( and independent means not a Guernsey body like with their complaints procedure) then they have to conduct their health and social care services with openness and transparency with published quality data and review reports in order to win trust and restructure their system similar to the NHS which means including the GPs and their community services under the government's responsibility before they collaborate with the Isle of Man.

It seems to me that the IoM is miles ahead of trying to get their health service up to scratch compared to the Jersey Way.

Mrs Anne Pryke and team can learn from the IoM Beamans Report which states that

Quote:

 that we do not believe that an acute hospital the size of Noble’s can continue to be managed as an operating division of the Department of Health. Leading, managing and co-ordinating a hospital facility providing 365 day, 24/7 acute health care presents a substantially different set of management challenges to those associated with the management of an administrative or policy arm of government. It also requires substantially different skill-sets. In this latter respect, a hospital which employs approximately 1,800 staff with gross running costs in the region of £80 million requires executive leadership.

5.5
In our view, establishing a Governing Board as illustrated in Figure 3 on page 30 will help tighten accountabilities, improve governance and perhaps, most importantly help build more transparent relationships and partnerships with patients and the public. In this latter respect, the establishment of a Governing Board affords the opportunity to build trust and restore public confidence. In setting out this governance framework we would make a number of specific points:

5.18
However, this is to miss the key point of a Board structure. Looking ahead one of the key challenges for Noble’s is to maintain public confidence. To do this there is a need to ensure that the organisation operates with openness, transparency and candour. The Governing Board will have an overarching responsibility, through its leadership and oversight, to ensure – and to be assured – that the hospital operates with transparency, openness and candour. A Governing Board which is inclusive in its representation and independent in its action can provide that oversight and
assurance and be seen to hold the Executive to account in a way that the department cannot.

Most importantly, the Board will have a key role in creating the culture which supports open dialogue which should include ensuring that complaints, concerns and suggestions from patients and staff are listening to and acted on fairly. In this regard, there is no doubt that recent events have shaken public confidence in Noble’s. And in this regard the question here is not so much how effective the existing management and governance arrangements are but what needs to be done to restore that confidence. In our view, it is doubtful whether that confidence can be restored simply by adapting existing hospital and departmental mechanisms of governance and management. In short, more radical change is required.

http://www.gov.im/media/1027297/review_of_management_effectiveness_at_noble_s_hospital.pdf

If the IoM hospital managers and politicians have the backbone to accept their wrongdoings but are able to implement a transparent positive structural change, will  Jersey follow or just spend millions on a new building?
Title: Re: Jersey General Hospital
Post by: boatyboy on September 04, 2014, 07:18:55 AM

Minister Anne Pryke - please explain the lack of  accurate basic recording of operations in hospital theatres, what on earth is going on ? Is the same accountability used to determine staff hours, or are some of your staff working in clinics in London but being paid by the Jersey health department ?
,
http://www.statesassembly.gov.je/AssemblyReports/2014/R.094-2014.pdf

Daily Mail

An internationally-acclaimed medic and his team of workers showed a 'cynical disregard' for the NHS by working just half their contracted hours in a scam which cost taxpayers £1.1m.

'While taking a salary from the NHS for a 37-and-a-half hour week, you worked elsewhere at other hospitals during NHS hours. You all four gravely abused the trust placed in you.

Read more: http://www.dailymail.co.uk/news/article-2742165/Four-health-experts-jailed-scamming-NHS-1-1m-working-HALF-contracted-hours-hospital-dubbed-Bas-Vegas-raked-cash-moonlighting.html#ixzz3CIchfjR7
Title: Re: Jersey General Hospital
Post by: shortport on September 05, 2014, 01:36:08 AM
bet this is rife in Jersey.Waiting times for consultants are so long yet if you want to pay to see them in their private clinics you can usually get an appointment within 2 weeks.Bet there is no information about how many hours they actually work for the states, and not just using their facilities
Title: Re: Jersey General Hospital
Post by: boatyboy on May 18, 2015, 04:44:22 AM

JEP

We need more than £300 million off you.

http://jerseyeveningpost.com/news/2015/05/17/new-hospital-considerably-more-than-300m-estimate/

Bigger, better, cheaper.

http://planetjersey.co.uk/forum/index.php?topic=451.msg57341#msg57341

BB
Title: Re: Jersey General Hospital
Post by: Fritz on May 19, 2015, 12:26:15 AM
A blind man could see that renting out tax-payer funded facilities to the private sector ,(In order to balance the books), will only increase the waiting times for the folk who pay for the facilities through SS and Taxation but cannot afford to pay for the private use of them when in need.
If the private sector want to invest in facilities, let them get on with it.
As in housing, education or whatever, those who want to invest and get a good earner, should do so with their own capital. NOT PUBLIC FUNDS!!!
Title: Re: Jersey General Hospital
Post by: boatyboy on July 11, 2015, 11:38:08 PM
It was on the Council of Ministers  cards and always has been.

As the people of Jersey did not turn up in their tens of thousands at the Financial Quarter demonstration, the CoM's took this as a green light to spend even more tax payer pounds, believing the money in the bank of Jersey including the stratigic reserve is there for the taking ( £720 million ) the ministers have little business ethic or sense. As an example why is Health Minister Green not questioning the cost of the new hospital ? Why is he not visting Dumfries to see how they build a larger building for half the price ?

Prudence is a word that you apply to Greece not Jersey.

Although the demonstration of 2,000 souls turn out was good for Jersey, it was not a strong enough response. The Council of Ministers pushed ahead regardless and sorry folks, not only is money being wasted on this grand office scheme but now ( in times off recession and looming black holes ) they are grabbing more of your and my money, a great deal more to build a gold plated and marbled floor, smaller hospital than the one bench marked below but costing more than twice the price.

I am unable to use the name of the Senator, but they personally warned that the new hospital was excessive to the extreme, large plush offices, and all the trimmings that the public sector feel they so richly deserve. The cost was muted at around three hundred million. A ridiculous amount of money.  The basis for that statement is benched marked with a brand new hospital being built below ( on purchased private land ) which will cater for almost 150,000 head of population when built. It offers 350 beds, 1,000 parking spaces and 104 staff residencies. All for around £200 million.

Jersey being an island will incur extra costs for shipping etc however building materials are not subject to 20% Vat as in the UK example. Even so let us assume that the Jersey build will be loaded with a 20% premium for shipping, importing specialist builders. Let us add £40 million to the total. Even I can see that the figure should be close to £250 million as unlike the example below the States own the building site therefor many millions have been saved from not having to purchase private land.   

So fellow islanders, rather than paying around the right price of £250 million for a new hospital,  the price in today’s JEP, it has slipped quietly up to £450 million for a smaller hospital, on states owned land for a smaller population, why the unbelievable difference in price ? All quotes below are selective please see full article's to get the full picture.


JEP.

Previously it had been proposed to build a 275-bed hospital
However, he declined to reveal the locations of the two shortlisted sites for the £450 million hospital.

http://jerseyeveningpost.com/news/2015/07/10/new-hospital-site-to-be-revealed-soon/

Proposals for a new £200m general hospital on the outskirts of Dumfries have been approved by planning committee councillors.
NHS Dumfries and Galloway has earmarked farmland at the Garroch roundabout for the 350-bed facility.
There is also provision for more than 100 staff residences, a helipad and parking for nearly 1,000 cars.
It will replace the existing infirmary building, constructed in the 1970s, on the Bankend Road.

http://www.bbc.co.uk/news/uk-scotland-south-scotland-22280851

We have:

NHS Dumfries and Galloway serves a  population of 148,190 but within a large geographical area of about 2,400 square miles. Dumfries and Galloway stretches from Langholm in the East to Drummore in the West, and from Kirkconnel and Carsphairn in the North down to Sandyhills on the Solway Coast. The Health Board e
Employs around 4,500 staff excluding GPs and Dentists.

http://www.nhsdg.scot.nhs.uk/About_Us/About__Us



From  June 2014

http://planetjersey.co.uk/forum/index.php?topic=451.msg57341#msg57341



Where is all the money going ?



Boatyboy.
Title: Re: Jersey General Hospital
Post by: man in the street on July 12, 2015, 05:04:34 PM
Talking and consulting, costs a packet .
And general ripping off  come to mind if i had to guess where it went.
Title: Re: Jersey General Hospital
Post by: shortport on July 12, 2015, 06:10:31 PM
What with the police station,the finance centre and now the hospital we should be in enough debt to wipe out the strategic reserve fund within 10 years,combine that with Walkers Andium homes and Ports of Jersey and a continued decline in the islands GVA and all the other corruption and incompetence going on we should be pretty much finished by 2030.It won't be Greece making international headlines,it will be Jersey
Title: Re: Jersey General Hospital
Post by: ageofaquarius on July 14, 2015, 01:14:45 AM

As things stand there isn't enough staff to run the present hospital, doctors and nurses are in short supply and HSS is obliged to use the occasional locum at exhorbitant rates.  All well and good having a brand new state of the art hospital (in my dreams) but with all the penny pinching and lean thinking don't think we will have enough staff on the front line to deal with the sick and needy.  Plenty of management though, managing their lists of statistics. 

Title: Re: Jersey General Hospital
Post by: Fritz on July 14, 2015, 01:46:46 AM
Not just the hospital.

I still cannot understand why TTS have about 10 ,"Trainee", engineers/managers on hire,(Full time), from a recruitment agency,(And that is apart from the local freelancers who are employed ,"full-time,part-time"), to oversee work that they know nothing about!!(They are not familiar with locally sourced materials or traffic management logistics and treat minor works as if they were working on the M1). These trainees are all housed at the expense of the tax-payer.
I dread to think how many other UK trainees are being financed by other Jersey government departments. IE. US!! The tax-payers. >:(
Title: Re: Jersey General Hospital
Post by: boatyboy on October 29, 2015, 03:35:30 PM
Hospital to close twenty five beds, twelve immediately.

During the last year the New Health minister Andrew Green has taken over the reigns of Jersey’s floundering health service. It has waiting lists of over six months to see many of the consultants. It has waiting list of over a year for operations and it is short of various qualified medical staff including nurses.

Should you be lucky enough to have that knee operation you have waited so long for, you will have to wait another six weeks before physiotherapy,  how can that be reasonable, and help your full recovery ?

In fairness to Andrew Green, the hospital was a basket case after being headed by the last Minister Anne Pryke who regularly displayed her incompetence under questioning in the States Assembly on health matters.

The question is - why are waiting lists so long on an extremely wealthy island with a  special rainy day fund ( strategic reserve ) worth an estimated £780 million.

Recently the treasury minister Alan Maclean stated that health was a priority and would receive extra funding of £96 million over four years.
The Health minister is even planning to build a new hospital. The cost goes up every six months by 50 million and has reached £450 million, yet the structure of the existing health service is failing and has been sliding for several years.

These are the same ministers who want to bring in a charge for treatment. Today the health budget is around £179 million per year which is actually generous in real terms for the size and population of Jersey, but weighted down with such a large bloated and expensive management structure, it is no surprise the health service it is running short of money.

There is one cut back that I find upsetting and few appear to have spotted or taken much notice.


The disinterested Jersey accredited media ( anything for a quiet life ) have not held the politicians to account by asking the questions that matter - so let us try a few here.

1) Why are ward beds being removed when the waiting lists are getting considerably longer.

2) How many management staff are being made redundant, so more clinicians including nurses can be employed within budget ?

3) How will you be able to staff a new larger proposed Hospital when you cannot staff the existing one to accepted minimum General Medical Council levels ?

4) Jersey hospital answers only to itself and is therefore self governing and self regulating unlike the NHS hospitals that are overseen by several independent regulators. Has this self regulation hindered forward development and progression by making the service inward looking and apathetic and even disjointed ?

5) Unlike the NHS whereby consultants are – not - allowed to do private work in their working week, has any progress taken place to reduce the publics waiting lists, by curtailing the advantageous 30% of paid working time away from pubic patients but instead dealing with high paying private patients ?  Is management checking and are time sheets completed by consultants ?

Latest news from the Health Minister on improving health care for islanders !

In the coming months there will be at least 25 beds closed for various reasons.Corbiere, Robin, Beauport and the Maternity wards will all be affected.
Some of these bed losses will be temporary, others will be permanent.

http://www.itv.com/news/channel/update/2015-10-21/hospital-beds-to-close-due-to-nursing-shortage/

Quotes are selective please view article.

Medium Term Financial Plan 2016 to 2019

Health

One of our main priorities in this plan is health and social care. We are living longer and that's great news. We all want to remain healthy throughout our lives. But as the working population is not growing as fast as our older population, that comes with substantial cost. That's why we are allocating £96 million of extra funding for health and social services over the four years of the plan.

As the economy is beginning to recover and we are planning sustainable finance measures we are now proposing a new health charge.

We plan to introduce it from 2018,

https://www.gov.je/news/speeches/chiefministers/pages/mediumtermfinancialplan2016.aspx

Death of a nurse for a common minor operation.

BBC

The report stated the hospital relied too heavily on locum staff, the day surgery unit was too busy and the management of the hospital was not clear, was not working and senior staff did not provide sufficient leadership.

http://news.bbc.co.uk/1/hi/world/europe/jersey/8491448.stm

Boatyboy.
Title: Re: Jersey General Hospital
Post by: Jerry Gosselin on October 31, 2015, 05:49:28 PM
I don't know how much people are paying in parking fees to visit seriously ill relatives at Jersey's General Hospital but I know the situation in England is a disgrace.

A backbench Labour MP who had to pay £40 per week in hospital parking charges when her mother was ill saw her Private Member's Bill to give free parking to carers wrecked by several Tory MPs in the Commons this week. >:( Most prominent among them was Philip Davies MP, who filibustered for 90 minutes in order to help defeat the Bill:

http://www.mirror.co.uk/news/uk-news/shameless-tory-philip-davies-drones-6735548#rlabs=49%20p$9


If I had been in this Labour MPs' shoes, I think I would have seriously struggled to contain my anger. It is underhand parliamentary tricks like this that only add to the public's utter contempt for politicians.
Title: Re: Jersey General Hospital
Post by: man in the street on November 01, 2015, 08:23:10 PM
To myself, it looks like we. Are sliding into a senario where it looks like the the service of a third world outpost.
It is no wonder that most good employers give their staff medical insurance.
You may be seen quicker,or even the option to be seen off island.speaking from the experience of. What hhas and what is happening to my wife.
If it was car that you had taken to a garage, you would have a case for recompense under the goods and services act..
It would appear that as soon as you are out the door, that is where the care and support. Ends.
Unless you have picked up a infection whilst in the hospital,who will come to your house till your treatment ends.
 Another band of good hard working folk who are under staffed.
It quite true to say that a new hospital will not fix the ills of the system in place to make the hospital function .
 A new hospital does not need to a a iconic architectural statement.
 Any clean square well lit ,ventilated, heated , cooled well staffed room wil do.
I notice that raddison blu. Has a indoor car boot sale today, to bring in  a few pounds.
Maybe the shareholders of the raddison  would vote to sellnit to our government as a shell to. Convert into hospital .
And build the new operating theatres alongside.
One thing our government and the riders of the gravy train are good at doing is talking about it.
Title: Re: Jersey General Hospital
Post by: boatyboy on February 23, 2016, 03:10:47 PM


The good news is that the ministers got what they wanted to spend around £8 million on green open land at Plemont they succeeded money magically appearing. Now they tell us they want to build on " peoples park " one of the few green lungs of St Helier.

Are Jersey residents being taken for a ride by a sytem that is bodering on a dictatorship ?

As a reminder,

https://www.youtube.com/watch?v=wU0Y0Uji3-w

The peoples park bit of fun yesterday was obviously just a well timed reminder that the demonstration in the Royal square today - starting at 12.30pm through to !.00pm will unite the people and hopefully send a strong message and confirm Minister Greens statement. It is our Island the 100,000 that live here.

It is not owned by 22 ministers and assistants and 10 conservative constables who mathmatical are able to bulldoze any thing they wish through diue to there being a total of only 49 in the assembly. Time to send a message to leave the well used Park alone. With no immigration policy  ( confirmed  by the amount of flats and offices being built ) we need all the green parks we can get.

See you there.

BB
Title: Re: Jersey General Hospital
Post by: boatyboy on July 04, 2016, 04:45:30 PM
The politicians tell you Jersey is desperate to have a new hospital - and the general hospital consultants that will see you next week if you write them a cheque or in six months time if you are lucky - in it self - strongly suggests that there is a lot wrong with the present setup.

Not to worry reader we will have a new hospital paid for partly out of the capital fund, or by a bond or even through borrowed finance as in the hijacked housing department now run by people at arms length from the Government but making all the decisions.

The point I have been making for probably years is that a failed management, including inefficiency, lack of patient care, poor staff communication all need addressing and improving resulting in shorter waiting lists. Transfering the management to a new building structure will solve nothing.

Indeed there is a strong case for sub contracting operations like basic ( but important ) hip of knee transplants to France to reduce long waiting lists, who charge far less per person that the Jersey private medical monopoly but the Jersey authorities refuse to investigate. This would shorten the long Jersey waiting lists but those in power are not in pain or unable to work so not effected.

Confirmation Bailiwick Express Article:

The board added: “A culture has developed at the hospital where senior clinicians and managers felt it was appropriate to make decisions in an informal way that ensured no records were kept of their consideration, no proper process followed, and there was no possibility of independent scrutiny, or right of appeal/review.”

The board described this as a “serious institutional failing” and says “[The management] failed in their duties to such an extent that, at the very least, they should undergo extensive re-training before being allowed to make decisions on employment (or, indeed, other important matters relating to management of the hospital, other than clinical issues) in the future.”

Dr Alwitry refused to operate on a Friday morning because there was no junior cover at the hospital over the weekend and he was worried about patient safety – a view backed by other experts in the field, but simply dismissed by staff at Jersey General Hospital. He also angered the hospital authorities for refusing to work for free on a Saturday because it was not in his contract.

http://www.bailiwickexpress.com/jsy/news/sacking-surgeon-contrary-law-unjust-and-based-irrelevant-considerations/?t=i#.V3oqvEu9vwI

BB
Title: Re: Jersey General Hospital
Post by: shortport on July 05, 2016, 02:09:35 AM
I hope Dr.Alwitry has opened up another can of worms of how corrupt this island is.
Even hospital doctors are unaccountable to how much time they spend on private vs public patients.
Title: Re: Jersey General Hospital
Post by: gladiator on July 05, 2016, 05:56:27 AM
We can’t read the 146-page States of Jersey Complaints Board  report. Will we hear yet again from the COM “ lessons will be learnt” ?


You would have thought that after the tragic death of a member of staff of the Jersey General Hospital, nurse Elizabeth Rourke in 2006, and a subsequent damning Verita report in 2010 with urgent recommendations for the hospital’s culture to change,  Jersey born Dr Amar Alwitry concerns of safety would have been much appreciated by the hospital management, instead he was up against a gang of    “the Jersey way”.

It makes me think whether those urgent recommendations of the Verita report have been followed or has there been more tax payer’s money wasted by some incompetent or spineless politicians for employing  expensive interim senior hospital managers who should have implemented those recommendations.

Quotes from Verita’s 2010 report which says it all:

2. Matters to do with the health and social services department

Culture of the hospital

2.1 A number of interviewees told us about the culture of the hospital. Many spoke of having satisfying jobs but they also commented about the fear of speaking out and a tendency for others to mistake reasonable questioning for disloyalty.

2.7 Some interviewees spoke about a perception that when something went wrong, senior managers had a tendency to blame individuals rather than looking at the systems in which the mistakes occurred.

2.12 The hospital has a whistle-blower‟s policy, for which it is to be applauded, but it is clear that whistle-blowing is only ever necessary when a culture of cover-up prevails and where it does, whistle-blowers are likely to doubt if such a policy will protect them. An organisation open and receptive to constructive criticism should find that it does not need to use its whistle-blower‟s policy.

Management of the hospital

2.13 Interviewees have provided many descriptions of the lack of common purpose between senior managers and senior clinical staff. Many people said there seemed to be little sense of a genuine shared view about the future of the hospital. This may partly be explained by the dual roles of senior management.


2.15 First-class healthcare organisations must have a sense of shared purpose. Politicians, managers and senior clinical staff should ensure that such a shared sense of direction exists and is communicated to all those concerned with, and working in, the hospital.

2.18 Our impression is that the hospital has little routinely collected data by which it can monitor services and plan developments. This puts it at a disadvantage in identifying the need for change and monitoring the success of any remedial actions.


Re The „Jersey way‟

3.8 A number of interviewees have referred to the „Jersey way‟ when explaining why things are as they are. We asked people what they meant by this term and received a variety of answers.

3.9 One consistent element which accords with our observations is the preference for informal understanding and agreement over formal, documented policies and procedures. It was suggested that this informality made it easier for people to avoid responsibility when something went wrong. A more benign explanation would be that people were trusted to behave sensibly, without the need to have every „i‟ dotted and „t‟ crossed. The „Jersey way‟ is certainly an alternative to the UK culture of micromanagement. Nonetheless, it has its disadvantages and dangers:

3.16 We believe that a public debate about what the people of Jersey want from their hospital and what they can get for the money they are willing and able to spend is a necessary step in deciding the hospital‟s future.


Independent investigation into the care, treatment and management of Elizabeth Rourke
Addendum to the report January 2010


http://www.statesassembly.gov.je/AssemblyReports/2010/149-10183-122010.pdf

The report is damning by the States of Jersey Complaints Board,now what action will Health Minister Andrew Green take to replace a failed management?


History tells us?

http://news.bbc.co.uk/1/mobile/world/europe/jersey/8491448.stm

http://www.bbc.co.uk/news/world-europe-jersey-10747738
Title: Re: Jersey General Hospital
Post by: boatyboy on July 18, 2016, 04:43:28 PM
The people in charge of running the Jersey Hospital and who have decided that they want another £450 million building are using unsafe practices so says Dr Alwitra  a Jersey born outsider who wanted to return to the island but who has worked and trained in a far larger health organisation the NHS.

 "No" says the employment board of amateurs’ led by Gorst, and supported by Andrew Green the health minister and retired senior manager from the hospital in charge of catering for the group.

They should be glad for the patients when an outside organizations points to defects in Jersey’s health care provision. It should – ALL – be about better and safer professional healthcare. However so bitter and twisted, so protective have some States departments become that the minister have closed ranks with their friends  “ der management “ at the Hospital that they refuse the warnings about unsafe practice and sacked the messenger. Were they right ?  Not according to the massive and powerful British Medical Association that look after the managing of safe practice for doctors so that doctors are not made scapegoats.

Questions for the Jersey Government.

Should you not be impartial, in which case why are you sitting on the SEB at all ?

Is not Andrew Green conflicted, being an ex hospital senior manager ?

Why bother to have a States complaints board, chaired by a retired lawyer, then ignore the considered conclusion ?

Are the SEB the COM and the Health Minister  truly wanting better patient care and improved services or just mouthpieces for a Hospital Management that is fatally flawed through not being part of the NHS accountability regime as shown by this exercise ? If so, is a clear out of top management at the hospital now needed to move forward and the resignation of the Health Minister who supports them also required ?

The answer will be confirmed should Mr Alwitry win his case for compensation unlike the situation regarding the sad case of nurse Elizabeth Rourke?
BBC Jersey.

A spokeswoman for the British Medical Association (BMA) said Mr Alwitry had the organisation's "full support" following his "unacceptable" treatment.
He said the SEB and the minister had shown "belligerent disregard" for patient safety and "wasted thousands of pounds of taxpayer money" trying to defend an "indefensible position".

Mr Alwitry has said he lost his job after he suggested it would be unsafe for him to operate on patients on Friday unless emergency care would be provided by his colleagues over the weekend.

http://www.bbc.co.uk/news/world-europe-jersey-36793850

About the SEB.

Chairman: Senator Ian Joseph Gorst

Vice Chairman: Senator Andrew Kenneth Francis Green M.B.E.

Members: Senator Alan John Henry Maclean, Connétable Juliette Gallichan, Connétable Michel Philip Sydney Le Troquer,

Unlike PPC which always has a "balance" of left, right and centre members of the States, this is heavily weighted to the establishment.

http://tonymusings.blogspot.com/2016/07/spotlight-on-states-employment-board.html

Boatyboy.
Title: Re: Jersey General Hospital
Post by: boatyboy on January 27, 2017, 05:22:26 PM
This is the minister that wants us on Jersey to trust him with £900 million ( payback of loan total over 40 years ) to build a part hospital, full plans and costings not available.

The problem as it appears on tonymusings blog  ( all credit to tony )  is that Minister Green like other Ministers has trouble seperating lies from what is actually the truth.
During the debate on hospital funding the question was asked if the loans and financing were subject to input and advise by the justice department. The answer from a Minister ( cant remember which one ) was that we have a history of working closely with the justice department. 

Quote:

" Deputy Andrew Green argued against this notion: “Okay, this is slightly different, and we have picked up on the income tax to collect it, but it is not a tax”


Well worth a read: all credit to the blog below.

http://tonymusings.blogspot.co.uk/2017/01/post-truth-taxes-and-alternative-charges.html

bb
Title: Re: Jersey General Hospital
Post by: Herrybraun on August 08, 2017, 05:47:33 PM
Its really a great deal to find one best doctor that treat your pain with great cure and do his/her best for the patients sake.
Title: Re: Jersey General Hospital
Post by: Chevalier Blanc on August 09, 2017, 03:54:04 PM
So they want the public to have their say on the hospital. So when it all goes pear shaped on paying back the loan they will say that we the public agreed to what they had told us and we put our input into it, so we all take the blame!  Do not be fooled by saying what or how you want the hospital, it is their job to sort it out that is why they are states members.
Title: Re: Jersey General Hospital
Post by: shortport on August 10, 2017, 01:40:48 AM
Don't worry they won't take any notice of our concerns.I'm sure a deal for the funding has already been agreed with the private investor.
It will probably end up being a hospital for wealthy English people to have VAT free operations in our 'world class' hospital.
Title: Re: Jersey General Hospital
Post by: shortport on August 19, 2017, 02:33:30 AM
https://www.bailiwickexpress.com/jsy/news/confidential-emails-reveal-ministerial-spin-following-hospital-funding-chaos/?t=i#.WZdAg-SWzIU
What a bunch of slimy w*****s.
Title: Re: Jersey General Hospital
Post by: gladiator on August 22, 2017, 01:08:28 PM
sorry duplicate
Title: Re: Jersey General Hospital
Post by: gladiator on August 22, 2017, 01:27:30 PM
https://www.bailiwickexpress.com/jsy/news/confidential-emails-reveal-ministerial-spin-following-hospital-funding-chaos/?t=i#.WZdAg-SWzIU
What a bunch of slimy w*****s.

Interestingly Senator Philip Ozouf sat next to Peter De Putron and MP Jeremy Hunt at the Tories’ Black and White Fundraising Party 5 February 2014 as per The Guardian and The Bureau of Investigative Journalism. 

Quote:

The table plan shows:

*Peter de Putron, an offshore financier who is brother-in-law of financial services minister Andrea Leadsom, was seated with health secretary Jeremy Hunt and Jersey’s Treasury minister, Philip Ouzouf.

None of the three men have confirmed their attendance, though Mr Hunt was photographed arriving at the event.

https://www.thebureauinvestigates.com/stories/2014-10-12/doorstep-lender-and-property-moguls-amongst-guests-worth-22bn-at-tory-fundraiser

https://www.theguardian.com/politics/2014/oct/12/conservatives-tycoons-fundraising-black-and-white-ball

So there is a connection between them. With no doubt they have been lobbying their own interests on that occasion. Do the Jersey people want their hospital financed by somebody like the Guernsey banker Peter de Putron who won't make the best deal for Jersey ?

Jerry Gosselin wrote an important post previously about the Guernsey bank dynasty De Putron and its donation to the Tories. Baring in mind that the Channel islands are banned donating to British politicians.

http://planetjersey.co.uk/forum/index.php?topic=2823.180
[/quote]
Title: Re: Jersey General Hospital
Post by: gladiator on September 08, 2017, 05:15:13 AM
No formal targets for hospital waiting times. Unbelievable poor standard for an international finance centre.

Hospital waiting times (FOI)

Department   Freedom of Information
Author   States of Jersey
Issue date   21 Mar 2017
Status   Published
Cost   Prepared internally, no external cost

​Request
A

How many beds are there per 100,000 of the population in Jersey?

B

What was the average waiting time to be seen in the Emergency Department in 2016? Has the hospital set targets to see a patient in the Emergency Department by a particular time? If so what is the target time?

What was the longest time someone had to wait in 2016 to be seen in the Emergency Department?

C

What was the average waiting time for an elective operation in 2016? Is there a set target time to carry out elective operations? What was the longest wait someone had to wait for an elective operation in 2016? If possible can you tell me what the operation was for and the age and gender of the patient?

D

What was the maximum waiting time in 2016 for someone who has been referred with suspected cancer to see a specialist? What was the average waiting time in 2016?

Response
A

Within Jersey General Hospital there are 132 acute, adult, public inpatient beds. Additionally there are Paediatric, Intensive Therapy Unit (ITU), assessment beds, day surgery beds, maternity and special care baby unit beds totalling a further 62 beds. Overdale Hospital also has 23 rehabilitation beds.

The population office would need to advise on the current population of Jersey.

B

On attendance to the Emergency Department in 2016 the average wait to be triaged for all patients was nine minutes. The average time to be treated following presentation at the Emergency Department was 50 minutes.

Patients are treated in clinical priority order following triage assessment.

The hospital has not set a target regarding the time to be seen within.

We are unable to provide the longest individual wait due to the risk of identifying an individual patient and therefore Article 25 of the Freedom of Information (Jersey) Law 2011 has been applied. However a breakdown of the time to be treated is displayed in the table below.

 

​Time to be treated (mins)   ​Percentage of total attendances
​0-29                                   ​ 45%
​30-59   ​                           27%
​60-89    ​                           13%
​90-119                               ​7%
​120-149                              ​4%
​150-179                               ​2%
​180+   ​                           3%
 

C

The average wait for a public elective operation in 2016 was 65 days. There is no formal target.

We are unable to provide the longest individual wait due to the risk of identifying an individual patient and therefore Article 25 of the Freedom of Information (Jersey) Law 2011 has been applied. However a breakdown of the time waited is displayed in the table below.

​Days waiting for inpatient procedure ​ ​ ​ ​Percentage of patients​
​​1-30                                                    36%​
31-60   ​                                         27%
61-90                                            15%
​91-180                                            16%
​> 180                                                  7%
​   ​

D

We are unable to provide the individual longest wait due to the risk of identifying an individual patient and therefore Article 25 of the Freedom of Information (Jersey) Law 2011 has been applied. We aim to assess every patient who is referred into the hospital with a suspected cancer within four weeks and usually they are seen ahead of this.

In 2016 the average waiting time for an urgent referral to be seen was 16 days. This average includes non-cancer referrals.

Exemptions applied

Article 25 - Personal information

(1) Information is absolutely exempt information if it constitutes personal data of which the applicant is the data subject as defined in the Data Protection (Jersey) Law 2005.

(2) Information is absolutely exempt information if –

(a) it constitutes personal data of which the applicant is not the data subject as defined in the Data Protection (Jersey) Law 2005; and

(b) its supply to a member of the public would contravene any of the data protection principles, as defined in that Law.


https://www.gov.je/government/pages/statesreports.aspx?reportid=2730


Compare with the Isle of Man Hospital's targets published in public domain:

https://www.gov.im/about-the-government/departments/health-and-social-care/waiting-times/



Just as a reminder an old post but still relevant:

Jersey’s planned costs for a new hospital are £466m with estimated total costs incl. interest payments of £900m  for a catchment area of 103000  people VERSUS the costs of the planned new Liverpool Royal Hospital of £429m for 750000 people needing the specialist services for a catchment area of 2 million people!

Just compare!

How on earth did Jersey’s Department of Health and its Minister Andrew Green get their sums together???? Their money wasting incompetency with serious consequences for the Jersey people is just so in your face. To top that their elected Treasury Minister Senator Alan Maclean snubbed the request by Deputy John Le Fondre, Chairman of the Corporate Services Scrutiny Panel for more time to investigate how Jersey’s new multi-million pound hospital build is going to be funded!

But that must be The Jersey Way again! Arrogance par excellence!

http://www.bailiwickexpress.com/jsy/news/treasury-snubs-scrutiny-hospital-proposals/?t=i#.WHu0TMd2hqg

The New Royal Liverpool Hospital will get for their money:

•   646 beds, including a 40-bed Intensive Therapy Unit.
•   18 state-of-the-art theatres
•   23 wards and units, including a large clinical research facility.
•   The Emergency Department  which treats 172.000 patients will be one of
   the biggest in the north-west with a CT scanner and special lifts for major
   trauma patients, which go straight to theatres.

http://www.rlbuht.nhs.uk/your-new-royal/your-new-hospital/


What will Jersey’s people get for their borrowed and tax paid money?

Will the General Hospital or the Department of Health or the Treasury put on line the finance plans and up dates like the New Royal Liverpool Hospital?

http://www.rlbuht.nhs.uk/media/2749/rlbuht_final_confirmingbusinesscase_jan14.pdf


As the Jersey Way does not allow transparency and accountability we all know the answers.

http://planetjersey.co.uk/forum/index.php?topic=3950.msg61211#msg61211

The Royal Sussex County Hospital is undergoing a £486 million programme since 2016 to revamp their hospital by replacing all the buildings on the front of the main hospital site.

The Royal Sussex County Hospital is an acute teaching hospital in Brighton and is administered by the Brighton and Sussex University Hospitals NHS Trust. The work will happen in three stages and will take nine years to complete.The TRUST provides local acute services to a population of 484,000 but the catchment population for specialist services such as cancer and brain surgery , etc is much wider between 1.2 – 1.4 million people!

The £486 million project to modernise Brighton and Hove’s biggest and busiest hospital will be funded directly by the government by paid taxes and not by “Private Finance Initiative” PFI deals which are well known now to be too high financial risk.

https://www.bsuh.nhs.uk/wp-content/uploads/sites/5/2016/09/Economic-case.pdf.

This information  and more is all in public domain and easy to access through the internet thanks to their great hospital website where the outline of the business case is clearly defined and accessible.

https://www.bsuh.nhs.uk/about-us/hospital-redevelopment/about-the-redevelopment/

https://www.bsuh.nhs.uk/wp-content/uploads/sites/5/2016/09/Chapter-2-Introduction-to-the-Trust.pdf

Senator Andrew Green, Senator Alan Maclean and the Hospital's senior management should be ashamed to demand such a serious amount of money of £466m which is expected to rise to £900 million which needs to be borrowed,   WHY?  Jersey's population is much smaller, the hospital offers less specialised services but has no provision for the increasing aging population. I can only think of self-interest or massive incompetency by being ripped off for ridiculous unrealistic planning and wages?
Title: Re: Jersey General Hospital
Post by: boatyboy on September 09, 2017, 09:09:15 PM

The factual examples given in the post above are all rubbish. They don't exist and readers should completely ignore them, then they to will join the stupid club of States members who are willing to pass the proposition putting future generations of islanders into debt when there are few figures and no business plan, just the start of a mess like the Innovation Fund but of nuclear proportions with the amount of public money involved.

Try going to your bank manager for a loan or mortgage without detailed costings of spending and earnings ? 

All because of an unproven need for a brand new building that makes no proper breakdown of costs ( except the purchase of privately owned hotels and demolishen are not included ) however £94 million as a contingency fund ( for what ) and how will the £466 million be spent ?

At this time the hospital, unlike it's UK counterparts has not put into the public domain an open and transparent document. What the population of Jersey are now told is that there are long waiting lists to see a consultant, almost a year in some cases. What we are told is that there is a drastic shortage of nurses and other clinicians. What we are told is that charges for health treatment are being considered. What we are not told is how many hours ( in the real world ) consultants are working on private patients, while leaving the public patients ( who's taxes pay consultants basic wages ) in pain. What we are not told is why the health service is lacking in so many areas in what is supposed to be a wealthy island.

Passing this hospital funding without a master detailed plan, fully costed and in the public domain, is tantamount to incompetence or far worse in public office.

Of course the examples Gladiator gives are real, they are there for all who have the internet to see ! I have just read them. Why don't States members ?

Boatyboy.